NPIMap

Organization Active NPI

Rising Phoenix Massage and Wellness

  • Massage Therapist
  • West Jordan, UT
National Provider Identifier
1679307771
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
RISING PHOENIX MASSAGE AND WELLNESS
Practice address
9221 S Redwood Rd Ste B
West Jordan, UT 84088-5803
Phone
(801) 814-4046
NPI assigned
Aug 29, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

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

Authorized official

Name
Adalyn AllenNPI 1558131367
Title
Owner
Phone
(801) 814-4046

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

9221 S Redwood Rd Ste B
West Jordan, UT 84088-5803

Mailing address

9221 S Redwood Rd Ste B
West Jordan, UT 84088-5803
Phone (801) 814-4046

National Provider Directory

National Provider Directory

Locations

9221 S Redwood Rd
Ste B
West Jordan, UT 84088
Phone (801) 814-4046

Practitioners & affiliated clinicians

Practitioners 4

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": "1724889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724889600000",
    "number": "1679307771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9221 S REDWOOD RD STE B",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840885803",
            "telephone_number": "801-814-4046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9221 S REDWOOD RD STE B",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840885803",
            "telephone_number": "801-814-4046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISING PHOENIX MASSAGE AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-29",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "ADALYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-814-4046"
    },
    "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 West Jordan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.