Organization Active NPI

KRM Spa LLC

  • Massage Therapist
  • Miami, FL
National Provider Identifier
1750109716
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
KRM SPA LLC
Practice address
1540 NE 191St St Apt 140
Miami, FL 33179-4106
Phone
(786) 200-4312
NPI assigned
Sep 30, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2025

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

Authorized official

Name
Katherine R Mancilla, LMTNPI 1841018132
Title
Massage Therapist
Phone
(786) 200-4312

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

1540 NE 191St St Apt 140
Miami, FL 33179-4106

Mailing address

1540 NE 191St St Apt 140
Miami, FL 33179-4106
Phone (786) 200-4312

Other names 1

  • Katherine Mancilla LMT Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1727654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749081600000",
    "number": "1750109716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 NE 191ST ST APT 140",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331794106",
            "telephone_number": "786-200-4312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 NE 191ST ST APT 140",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331794106",
            "telephone_number": "786-200-4312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRM SPA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-30",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A",
        "authorized_official_last_name": "MANCILLA",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MASSAGE THERAPIST",
        "authorized_official_telephone_number": "786-200-4312",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Katherine Mancilla LMT",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Katherine Mancilla LMT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2025; 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.