Cca Massage LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

CCA MASSAGE LLC

Practice address

3828 W Irwin Ave
Phoenix, AZ 85041-6189

Phone

(480) 469-5252

NPI assigned

Jun 10, 2024

Last updated

Jun 14, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Aaron Gayda, LMTNPI 1194553305

Title

Owner, LMT

Phone

(480) 469-5252

Specialties & licenses 1

Addresses

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.

• Aaron M Gayda, LMT

  • Massage Therapist
  • Tempe, AZ
  • NPI 1194553305
  NPD Authorized official

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

{
    "created_epoch": "1717977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718323200000",
    "number": "1629810825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16700 N 51ST AVE",
            "address_2": "SUITE #1 1015",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "85306",
            "telephone_number": "480-469-5252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3828 W IRWIN AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850416189",
            "telephone_number": "480-469-5252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CCA MASSAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-10",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A",
        "authorized_official_last_name": "GAYDA",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "OWNER, LMT",
        "authorized_official_telephone_number": "480-469-5252",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Massage Therapist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Massage Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.