Organization Active NPI

Pediatric Holistic Wellness

  • Massage Therapist
  • Colorado Springs, CO
National Provider Identifier
1780224295
Registry record updated Nov 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
PEDIATRIC HOLISTIC WELLNESS
Practice address
635 Southpointe CT Ste 145
Colorado Springs, CO 80906-3877
Phone
(719) 510-5302
NPI assigned
Jan 13, 2020
Last updated
Nov 15, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2021

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

Authorized official

Name
Linda MargraveNPI 1619435468
Title
Owner
Phone
(719) 510-5302

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Homemaker 376J00000X NU
Respite Care 385H00000X NU
Massage Therapist 225700000X NU Primary

Addresses

Primary practice location

635 Southpointe CT Ste 145
Colorado Springs, CO 80906-3877

Mailing address

635 Southpointe CT Ste 145
Colorado Springs, CO 80906-3877
Phone (719) 510-5302

National Provider Directory

National Provider Directory

Locations

1519 E Boulder St
Colorado Springs, CO 80909
Phone (719) 630-3465

635 Southpointe Ct
Ste 145
Colorado Springs, CO 80906
Phone (719) 510-5302

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1578873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636934400000",
    "number": "1780224295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 SOUTHPOINTE CT STE 145",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809063877",
            "telephone_number": "719-510-5302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 SOUTHPOINTE CT STE 145",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809063877",
            "telephone_number": "719-510-5302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC HOLISTIC WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-13",
        "last_updated": "2021-11-15",
        "certification_date": "2021-11-15",
        "status": "A",
        "authorized_official_last_name": "MARGRAVE",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-510-5302"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2021; 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.