Active NPI
The Spa at Boncaldo's
- Massage Therapist
- Wollaston, MA
National Provider Identifier
1740500933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- Legal business name
- THE SPA AT BONCALDO'S
- Practice address
- 76 Beale St
Wollaston, MA 02170-2617 - Phone
- (617) 471-9515
- NPI assigned
- Jun 10, 2010
- Last updated
- Jun 10, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Alyse Nancy Baker-Boncaldo
- Title
- Owner/Manger
- Phone
- (617) 471-9515
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | Primary |
Addresses
Primary practice location
76 Beale St
Wollaston, MA 02170-2617
Mailing address
76 Beale Street
Wollaston, MA 02170
Phone (617) 471-9515
National Provider Directory
National Provider DirectoryLocations
76 Beale St
Wollaston, MA 02170
Phone (617) 471-9515
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276128000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1276128000000",
"number": "1740500933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "76 BEALE STREET",
"city": "WOLLASTON",
"state": "MA",
"postal_code": "02170",
"telephone_number": "617-471-9515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "76 BEALE ST",
"city": "WOLLASTON",
"state": "MA",
"postal_code": "021702617",
"telephone_number": "617-471-9515"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE SPA AT BONCALDO'S",
"organizational_subpart": "NO",
"enumeration_date": "2010-06-10",
"last_updated": "2010-06-10",
"status": "A",
"authorized_official_last_name": "BAKER-BONCALDO",
"authorized_official_first_name": "ALYSE",
"authorized_official_middle_name": "NANCY",
"authorized_official_title_or_position": "OWNER/MANGER",
"authorized_official_telephone_number": "617-471-9515",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wollaston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.