Nouvelle Vie Therapy, Corp.

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

MA235512 Issued in FL

Legal business name

NOUVELLE VIE THERAPY, CORP.

Practice address

916 NW 167TH Ave
Pembroke Pines, FL 33028-1478

Phone

(217) 371-6369

NPI assigned

Feb 22, 2015

Organization subpart

No

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

Authorized official

Name

Janneth Clavijo, MASSAGE THERAPIST

Title

President

Phone

(786) 227-2494

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1424563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424563200000",
    "number": "1740672161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "916 NW 167TH AVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330281478",
            "telephone_number": "217-371-6369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 NW 167TH AVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330281478",
            "telephone_number": "217-371-6369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOUVELLE VIE THERAPY, CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-22",
        "last_updated": "2015-02-22",
        "status": "A",
        "authorized_official_last_name": "CLAVIJO",
        "authorized_official_first_name": "JANNETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-227-2494",
        "authorized_official_credential": "MASSAGE THERAPIST"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA235512",
            "primary": false
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "FL",
            "license": "MA235512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Point of Service in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Point of Service in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2015; 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.