Organization Active NPI

Be Balanced Massage LLC

Doing business as Be Balanced Massage

  • Clinic/Center
  • Mt Zion, IL
National Provider Identifier
1619661824
Registry record updated Jun 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
BE BALANCED MASSAGE LLC
Doing business as
Be Balanced Massage
Practice address
1397 Mt Zion Pkwy
Mt Zion, IL 62549-1478
Phone
(217) 864-1127
NPI assigned
Jun 8, 2023
Last updated
Jun 8, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2023

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

Authorized official

Name
Mrs. Tosha Cobb, LMTNPI 1124301809
Title
Owner/Massage Therapist
Phone
(217) 864-1127

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 NU Primary

Addresses

Primary practice location

1397 Mt Zion Pkwy
Mt Zion, IL 62549-1478

Mailing address

1397 Mt Zion Pkwy
Mt Zion, IL 62549-1478
Phone (217) 864-1127

Other names 1

  • Be Balanced Massage Doing business as

National Provider Directory

National Provider Directory

Locations

1397 Mt Zion Pkwy
Mt Zion, IL 62549
Phone (217) 864-1127

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": "1686182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686182400000",
    "number": "1619661824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1397 MT ZION PKWY",
            "city": "MT ZION",
            "state": "IL",
            "postal_code": "625491478",
            "telephone_number": "217-864-1127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1397 MT ZION PKWY",
            "city": "MT ZION",
            "state": "IL",
            "postal_code": "625491478",
            "telephone_number": "217-864-1127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BE BALANCED MASSAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-08",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A",
        "authorized_official_last_name": "COBB",
        "authorized_official_first_name": "TOSHA",
        "authorized_official_title_or_position": "OWNER/MASSAGE THERAPIST",
        "authorized_official_telephone_number": "217-864-1127",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Be Balanced Massage",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mt Zion, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; 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.