Crystal Massage Spa

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

CRYSTAL MASSAGE SPA

Practice address

102 Elden St Ste 18
Herndon, VA 20170-4839

Phone

(571) 352-4502

NPI assigned

Mar 26, 2024

Organization subpart

No

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

Authorized official

Name

Min ShiNPI 1184474181

Title

Member

Phone

(571) 352-4502

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Min Shi

  • Massage Therapist
  • Herndon, VA
  • NPI 1184474181
  NPD Authorized official
• Rechel Qingyan Gao

  • Massage Therapist
  • Herndon, VA
  • NPI 1558224741
  NPD
• Ya Shi

  • Massage Therapist
  • Herndon, VA
  • NPI 1285484113
  NPD

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

{
    "created_epoch": "1711411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711411200000",
    "number": "1730939331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 ELDEN ST STE 18",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201704839",
            "telephone_number": "571-352-4502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 ELDEN ST STE 18",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201704839",
            "telephone_number": "571-352-4502"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 Elden St Ste 150",
            "address_purpose": "LOCATION",
            "city": "Herndon",
            "state": "VA",
            "postal_code": "201704855",
            "country_code": "US",
            "telephone_number": "571-519-9086",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CRYSTAL MASSAGE SPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-26",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-24",
        "status": "A",
        "authorized_official_last_name": "SHI",
        "authorized_official_first_name": "MIN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "571-352-4502"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Creating Solutions
• Kyana Creekmore
• Macy Creel, DPT
• Samantha Cresoe-Ortiz
• Christine Marie Crowell, M.A., BCBA
• CSP Nova LLC
• Christopher Cunningham, DPT
• Sherry A Cupac, LCSW
• Cynthia A Cutright, DPT
• Juan P Dacosta

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.