Organization Active NPI

Bodhi LLC

  • Massage Therapist
  • Toa Baja, PR
National Provider Identifier
1790502144
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
BODHI LLC
Practice address
Bodhi LLC
Carretera #2 KM 16.8 Candelaria
Toa Baja, PR 00949
Phone
(787) 244-9451
NPI assigned
Sep 25, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

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

Authorized official

Name
Carla Michelle Martis Vargas, LMT
Title
Proprietor
Phone
(787) 244-9451

Specialties & licenses 1

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

Addresses

Primary practice location

Bodhi LLC
Carretera #2 KM 16.8 Candelaria
Toa Baja, PR 00949

Mailing address

Urb. El Plantio
Calle Jacana G19F
Toa Baja, PR 00949
Phone (787) 244-9451

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1727222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727222400000",
    "number": "1790502144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB. EL PLANTIO",
            "address_2": "CALLE JACANA G19F",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "00949",
            "telephone_number": "787-244-9451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BODHI LLC",
            "address_2": "CARRETERA #2 KM 16.8 CANDELARIA",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "00949",
            "telephone_number": "787-244-9451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODHI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-25",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-22",
        "status": "A",
        "authorized_official_last_name": "MARTIS VARGAS",
        "authorized_official_first_name": "CARLA",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "PROPRIETOR",
        "authorized_official_telephone_number": "787-244-9451",
        "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": []
}

Other providers in Toa Baja, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; 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.