Organization Active NPI

Forest Aura Wellness, Inc.

  • Massage Therapist
  • Carmel, IN
National Provider Identifier
1669809117
Registry record updated Sep 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT20902986 Issued in IN
Legal business name
FOREST AURA WELLNESS, INC.
Practice address
13295 Illinois St
Suite 310
Carmel, IN 46032-3019
Phone
(317) 549-5047
NPI assigned
Sep 30, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2013

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

Authorized official

Name
Jennifer Sue Moore, CMT
Title
Owner, Certified Massage Therapist
Phone
(317) 549-5047

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X MT20902986 IN Primary

Addresses

Primary practice location

13295 Illinois St
Suite 310
Carmel, IN 46032-3019

Mailing address

13295 Illinois St
Suite 310
Carmel, IN 46032-3019
Phone (317) 549-5047

National Provider Directory

National Provider Directory

Locations

13295 Illinois St
Ste 310
Carmel, IN 46032
Phone (317) 549-5047

Practitioners & affiliated clinicians

Practitioners 2

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": "1380499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380499200000",
    "number": "1669809117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13295 ILLINOIS ST",
            "address_2": "SUITE 310",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460323019",
            "telephone_number": "317-549-5047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13295 ILLINOIS ST",
            "address_2": "SUITE 310",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460323019",
            "telephone_number": "317-549-5047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREST AURA WELLNESS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-30",
        "last_updated": "2013-09-30",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "OWNER, CERTIFIED MASSAGE THERAPIST",
        "authorized_official_telephone_number": "317-549-5047",
        "authorized_official_credential": "CMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "IN",
            "license": "MT20902986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2013; 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.