Active NPI
Your Wellness LLC
Doing business as Your Wellness Spa
- Massage Therapist
- Frederick, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- Legal business name
- YOUR WELLNESS LLC
- Doing business as
- Your Wellness Spa
- Practice address
- 464 Prospect Blvd
Frederick, MD 21701-6400 - Phone
- (240) 778-7812
- NPI assigned
- Mar 22, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ranwei Bao
- Title
- Owner
- Phone
- (240) 778-7812
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | Primary |
Addresses
Primary practice location
464 Prospect Blvd
Frederick, MD 21701-6400
Mailing address
464 Prospect Blvd
Frederick, MD 21701-6400
Other practice location 1
5207 Presidents Ct
Frederick, MD 21703-8403
Phone (240) 778-7812
Other names 1
- YOUR WELLNESS SPA
National Provider Directory
National Provider DirectoryLocations
464 Prospect Blvd
Frederick, MD 21701
Phone (240) 778-7812
5207 Presidents Ct
Frederick, MD 21703
Phone (240) 778-7812
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Massage Therapist
- Frederick, MD
- NPI 1760232938
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1711065600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1711065600000",
"number": "1518717719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "464 PROSPECT BLVD",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217016400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "464 PROSPECT BLVD",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217016400",
"telephone_number": "240-778-7812"
}
],
"practiceLocations": [
{
"address_1": "5207 Presidents Ct",
"address_purpose": "LOCATION",
"city": "Frederick",
"state": "MD",
"postal_code": "217038403",
"country_code": "US",
"telephone_number": "240-778-7812",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "YOUR WELLNESS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-03-22",
"last_updated": "2024-03-22",
"certification_date": "2024-03-22",
"status": "A",
"authorized_official_last_name": "BAO",
"authorized_official_first_name": "RANWEI",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "240-778-7812"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "YOUR WELLNESS SPA",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.