Organization Active NPI

Bliss Body, LLC

  • Clinic/Center
  • Acton, MA
National Provider Identifier
1619582863
Registry record updated Aug 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
BLISS BODY, LLC
Practice address
83 Great Rd
Acton, MA 01720-5682
Phone
(978) 812-4125
NPI assigned
Sep 14, 2020
Last updated
Aug 30, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2024

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

Authorized official

Name
Roxanne Elizabeth Nichols, LACNPI 1053877589
Title
Owner
Phone
(978) 812-4125

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)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

83 Great Rd
Acton, MA 01720-5682

Mailing address

50 McKinley St
Maynard, MA 01754-1837
Phone (978) 812-4125

Other practice location 1

34 Hayden Rowe St Ste 100
Hopkinton, MA 01748-1888
Phone (978) 812-4125

National Provider Directory

National Provider Directory

Locations

83 Great Rd
Acton, MA 01720
Phone (202) 302-3514

34 Hayden Rowe St
Ste 100
Hopkinton, MA 01748
Phone (508) 589-5333

14 Red Acre Rd
Stow, MA 01775
Phone (508) 395-2578

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.

NPI Registry JSON

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

{
    "created_epoch": "1600041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724976000000",
    "number": "1619582863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 MCKINLEY ST",
            "city": "MAYNARD",
            "state": "MA",
            "postal_code": "017541837",
            "telephone_number": "978-812-4125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 GREAT RD",
            "city": "ACTON",
            "state": "MA",
            "postal_code": "017205682",
            "telephone_number": "978-812-4125"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "34 Hayden Rowe St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Hopkinton",
            "state": "MA",
            "postal_code": "017481888",
            "country_code": "US",
            "telephone_number": "978-812-4125",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BLISS BODY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-14",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A",
        "authorized_official_last_name": "NICHOLS",
        "authorized_official_first_name": "ROXANNE",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-812-4125",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Acton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.

Verify at the official NPI Registry.