Kung Fu Massage LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

KUNG FU MASSAGE LLC

Practice address

20755 Williamsport PL Ste 200
Ashburn, VA 20147-6524

Phone

(703) 623-3417

NPI assigned

Sep 14, 2022

Organization subpart

No

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

Authorized official

Name

Benjamin Redlin

Title

Member

Phone

(703) 623-3417

Specialties & licenses 1

Addresses

Other names 1

• Meridian Massage Spa Doing business as

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1663113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663113600000",
    "number": "1730801911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20755 WILLIAMSPORT PL STE 200",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201476524",
            "telephone_number": "703-623-3417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20755 WILLIAMSPORT PL STE 200",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201476524",
            "telephone_number": "703-623-3417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KUNG FU MASSAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-14",
        "last_updated": "2022-09-14",
        "certification_date": "2022-04-13",
        "status": "A",
        "authorized_official_last_name": "REDLIN",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "703-623-3417"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@meridianmassagespa.com",
            "affiliation": "N",
            "endpointDescription": "Secure email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "20755 Williamsport Pl Ste 200",
            "city": "Ashburn",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201476524",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Meridian Massage Spa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mary Barbara Krygiel, LAC
• Jacek Krzepicki, M.D.
• Jennifer Kugler, D.O.
• Eileen Marie Kuhn, OTR
• Brett Alexandria Kulp
• Kristen Kunka, FNP-C
• Peter McClintic Kwapisz
• Nathan Bryant Kyle
• Laboratory Corporation of America
• Laboratory Corporation of America Holdings

• Massage Therapist in Ashburn, VA
• Providers in Ashburn, VA by specialty
• Massage Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2022; 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.