Organization Active NPI

Bloom Biz Wellness LLC

  • Massage Therapist
  • Austin, TX
National Provider Identifier
1619787405
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
BLOOM BIZ WELLNESS LLC
Practice address
13812 N US Highway 183 Ste B4
Austin, TX 78750-1238
Phone
(512) 541-6605
NPI assigned
Jan 13, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2025

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

Authorized official

Name
Nan Li, LMTNPI 1417764291
Title
Owner
Phone
(512) 740-6359

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
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

13812 N US Highway 183 Ste B4
Austin, TX 78750-1238

Mailing address

13812 N US Highway 183 Ste B4
Austin, TX 78750-1238

National Provider Directory

National Provider Directory

Locations

13812 N US Highway 183
Ste B4
Austin, TX 78750
Phone (512) 541-6605

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1736726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736726400000",
    "number": "1619787405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13812 N US HIGHWAY 183 STE B4",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787501238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13812 N US HIGHWAY 183 STE B4",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787501238",
            "telephone_number": "512-541-6605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM BIZ WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-13",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A",
        "authorized_official_last_name": "LI",
        "authorized_official_first_name": "NAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-740-6359",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2025; 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.