Organization Active NPI

Harmony Falls Crystal Lake LLC

  • Massage Therapist
  • Crystal Lake, IL
National Provider Identifier
1679344048
Registry record updated Jan 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
HARMONY FALLS CRYSTAL LAKE LLC
Practice address
757 S McHenry Ave Ste a
Crystal Lake, IL 60014-7443
Phone
(262) 203-0646
NPI assigned
Jan 12, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2024

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

Authorized official

Name
Ross William Kocol, LMT
Title
Owner
Phone
(262) 203-0646

Specialties & licenses 1

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

Addresses

Primary practice location

757 S McHenry Ave Ste a
Crystal Lake, IL 60014-7443

Mailing address

757 S McHenry Ave
Crystal Lake, IL 60014-7443
Phone (262) 203-0646

Other names 1

  • Harmony Falls Massage Clinic and Spa Other name

National Provider Directory

National Provider Directory

Locations

757 S McHenry Ave
Ste A
Crystal Lake, IL 60014
Phone (262) 203-0646

757 S McHenry Ave
Crystal Lake, IL 60014

NPI Registry JSON

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

{
    "created_epoch": "1705017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705017600000",
    "number": "1679344048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "757 S MCHENRY AVE",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600147443",
            "telephone_number": "262-203-0646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "757 S MCHENRY AVE STE A",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600147443",
            "telephone_number": "262-203-0646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARMONY FALLS CRYSTAL LAKE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-12",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A",
        "authorized_official_last_name": "KOCOL",
        "authorized_official_first_name": "ROSS",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-203-0646",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harmony Falls Massage Clinic and Spa",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Crystal Lake, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.