Revitalize Massage & Bodywork LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

REVITALIZE MASSAGE & BODYWORK LLC

Doing business as

Revitalize Massage & Bodywork LLC

Practice address

8317 Gunn Hwy
Tampa, FL 33626-1608

Phone

(813) 723-9043

NPI assigned

Mar 1, 2023

Last updated

Mar 31, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Patrick John Torio Paralejas, LMT, MMP, MLD-CNPI 1346949211

Title

Pres

Phone

(813) 723-9043

Specialties & licenses 1

Addresses

Other names 1

• Revitalize Massage & Bodywork LLC Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Patrick John Torio Paralejas, LMT, MMP.

  • Massage Therapist
  • Tampa, FL
  • NPI 1346949211
  NPD Authorized official

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

{
    "created_epoch": "1677628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680220800000",
    "number": "1730888546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27226 BLACK HAWK DR",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335445622",
            "telephone_number": "813-397-7227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8317 GUNN HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336261608",
            "telephone_number": "813-723-9043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVITALIZE MASSAGE & BODYWORK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-01",
        "last_updated": "2023-03-31",
        "certification_date": "2023-03-31",
        "status": "A",
        "authorized_official_last_name": "PARALEJAS",
        "authorized_official_first_name": "PATRICK JOHN",
        "authorized_official_middle_name": "TORIO",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "813-723-9043",
        "authorized_official_credential": "LMT, MMP, MLD-C"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Revitalize Massage & Bodywork LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Revitalize Massage & Bodywork LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Massage Therapist in Tampa, FL
• Providers in Tampa, FL by specialty
• Massage Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2023; 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.