Organization Active NPI

Levisa Massage Spa Wellnes LLC.

  • Massage Therapist
  • Tampa, FL
National Provider Identifier
1740754969
Registry record updated Jan 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
LEVISA MASSAGE SPA WELLNES LLC.
Practice address
3104 W Waters Ave Ste 105
Tampa, FL 33614-2876
Phone
(813) 440-3281
NPI assigned
Jan 22, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2019

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

Authorized official

Name
Delano Jennas
Title
Managing Partner
Phone
(570) 977-4754

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

3104 W Waters Ave Ste 105
Tampa, FL 33614-2876

Mailing address

3104 W Waters Ave Ste 105
Tampa, FL 33614-2876
Phone (813) 440-3281

National Provider Directory

National Provider Directory

Locations

3104 W Waters Ave
Ste 105
Tampa, FL 33614
Phone (813) 440-3281

NPI Registry JSON

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

{
    "created_epoch": "1548115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548115200000",
    "number": "1740754969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3104 W WATERS AVE STE 105",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336142876",
            "telephone_number": "813-440-3281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3104 W WATERS AVE STE 105",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336142876",
            "telephone_number": "813-440-3281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEVISA MASSAGE SPA WELLNES LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-22",
        "last_updated": "2019-01-22",
        "status": "A",
        "authorized_official_last_name": "JENNAS",
        "authorized_official_first_name": "DELANO",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "570-977-4754"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2019; 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.