Sole Sanctuary LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

SOLE SANCTUARY LLC

Doing business as

Sole Sanctuary LLC

Practice address

1061 S Sun Dr Ste 1025
Lake Mary, FL 32746-6170

Phone

(321) 231-5762

NPI assigned

Feb 5, 2024

Organization subpart

No

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

Authorized official

Name

Shelly Reedy

Title

Authorized Representative

Phone

(321) 363-1611

Specialties & licenses 1

Addresses

Other names 1

• Sole Sanctuary LLC Doing business as

Locations

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

{
    "created_epoch": "1707091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707091200000",
    "number": "1659134484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1061 S SUN DR STE 1025",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327466170",
            "telephone_number": "321-231-5762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1061 S SUN DR STE 1025",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327466170",
            "telephone_number": "321-231-5762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLE SANCTUARY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-05",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-04",
        "status": "A",
        "authorized_official_last_name": "REEDY",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_title_or_position": "AUTHORIZED REPRESENTATIVE",
        "authorized_official_telephone_number": "321-363-1611"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sole Sanctuary LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Soft Cloud Music Therapy, LLC
• Jinyu Soh-Urbano, MD
• Sojourners Recovery & Wellness Center, LLC
• Leonard J. Solano, D.C.
• Solantic of Orlando, LLC
• Dina Soliman, PT
• Kailyn Solis
• Jean Sebastian Solivan Pacheco
• Fantasha Solomon
• Jaime Salvador Solorzano, M.D.

• Massage Therapist in Lake Mary, FL
• Providers in Lake Mary, FL by specialty
• Massage Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.