Organization Active NPI

Roots Bodywork LLC

Doing business as Roots Bodywork

  • Massage Therapist
  • Wake Forest, NC
National Provider Identifier
1639994809
Registry record updated Nov 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
ROOTS BODYWORK LLC
Doing business as
Roots Bodywork
Practice address
12339 Wake Union Church Rd Ste 102
Wake Forest, NC 27587-4512
Phone
(919) 593-4650
NPI assigned
Nov 21, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2024

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

Authorized official

Name
Michael BelmonteNPI 1861217036
Title
Owner
Phone
(919) 593-4650

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

12339 Wake Union Church Rd Ste 102
Wake Forest, NC 27587-4512

Mailing address

12339 Wake Union Church Rd Ste 102
Wake Forest, NC 27587-4512

Other names 1

  • ROOTS BODYWORK Doing business as

National Provider Directory

National Provider Directory

Locations

12339 Wake Union Church Rd
Ste 102
Wake Forest, NC 27587
Phone (574) 276-3801

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": "1732147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732147200000",
    "number": "1639994809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12339 WAKE UNION CHURCH RD STE 102",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275874512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12339 WAKE UNION CHURCH RD STE 102",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275874512",
            "telephone_number": "919-593-4650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOTS BODYWORK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-21",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A",
        "authorized_official_last_name": "BELMONTE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-593-4650"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ROOTS BODYWORK",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wake Forest, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.