Organization Active NPI

Sukhothai Wellness LLC

  • Massage Therapist
  • Boston, MA
National Provider Identifier
1568955599
Registry record updated Jun 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
7078174 Issued in MA
Legal business name
SUKHOTHAI WELLNESS LLC
Doing business as
PhorayaThai Spa
Practice address
900 Huntington Ave
Boston, MA 02115-2301
Phone
(617) 294-9556
NPI assigned
Jun 13, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Pimlada Degon-Rinaldi
Title
Owner
Phone
(562) 646-6456

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225700000X 7078174 MA Primary

Addresses

Primary practice location

900 Huntington Ave
Boston, MA 02115-2301

Mailing address

900 Huntington Ave
Boston, MA 02115-2301

Other names 1

  • PhorayaThai Spa Doing business as

National Provider Directory

National Provider Directory

Locations

900 Huntington Ave
Boston, MA 02115
Phone (617) 294-9556

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1528848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528848000000",
    "number": "1568955599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 HUNTINGTON AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021152301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 HUNTINGTON AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021152301",
            "telephone_number": "617-294-9556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUKHOTHAI WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-13",
        "last_updated": "2018-06-13",
        "status": "A",
        "authorized_official_last_name": "DEGON-RINALDI",
        "authorized_official_first_name": "PIMLADA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-646-6456"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "MA",
            "license": "7078174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PhorayaThai Spa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.