Nova Vita, LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

NOVA VITA, LLC

Practice address

303 Hargrove Rd E
Tuscaloosa, AL 35401-5029

Phone

(205) 415-2463

NPI assigned

Jan 17, 2020

Last updated

Jan 17, 2020By 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

Miquela Rollf-Simmons, LMTNPI 1467082412

Title

Clinic Director

Phone

(205) 394-9690

Specialties & licenses 1

Addresses

Locations

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.

• Miquela Merrie Rollf-Simmons, LMT

  • Massage Therapist
  • Tuscaloosa, AL
  • NPI 1467082412
  NPD Authorized official

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

{
    "created_epoch": "1579219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579219200000",
    "number": "1740810795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 HARGROVE RD E",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354015029",
            "telephone_number": "205-415-2463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 HARGROVE RD E",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354015029",
            "telephone_number": "205-415-2463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA VITA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-17",
        "last_updated": "2020-01-17",
        "certification_date": "2020-01-17",
        "status": "A",
        "authorized_official_last_name": "ROLLF-SIMMONS",
        "authorized_official_first_name": "MIQUELA",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "205-394-9690",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Massage Therapist in Tuscaloosa, AL
• Providers in Tuscaloosa, AL by specialty
• Massage Therapist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2020; 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.