Organization Active NPI

Healing Massage Therapies

Doing business as Walnut Beach Wellness & Boutique

  • Nutritionist
  • Milford, CT
National Provider Identifier
1790594448
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
Legal business name
HEALING MASSAGE THERAPIES
Doing business as
Walnut Beach Wellness & Boutique
Practice address
41 Naugatuck Ave # 3a
Milford, CT 06460-6034
Phone
(203) 306-7881
NPI assigned
Jan 6, 2025
Last updated
Jan 6, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2025

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

Authorized official

Name
Holly Burton, LMTNPI 1912243205
Title
Owner, Manager
Phone
(203) 306-7881

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 7

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X NU
Nutritionist 133N00000X NU Primary
Nutrition Education Nutritionist 133NN1002X NU
Acupuncturist 171100000X NU
Massage Therapist 225700000X NU
Integrative Medicine Physician 202D00000X NU
Health & Wellness Coach 171400000X NU

Addresses

Primary practice location

41 Naugatuck Ave # 3a
Milford, CT 06460-6034

Mailing address

41 Naugatuck Ave # 3a
Milford, CT 06460-6034
Phone (203) 306-7881

Other names 1

  • Walnut Beach Wellness & Boutique Doing business as

National Provider Directory

National Provider Directory

Locations

41 Naugatuck Ave
#3A
Milford, CT 06460
Phone (203) 306-7881

Practitioners & affiliated clinicians

Practitioners 2

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": "1736121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736121600000",
    "number": "1790594448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 NAUGATUCK AVE # 3A",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064606034",
            "telephone_number": "203-306-7881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 NAUGATUCK AVE # 3A",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064606034",
            "telephone_number": "203-306-7881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING MASSAGE THERAPIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-06",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A",
        "authorized_official_last_name": "BURTON",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_title_or_position": "OWNER, MANAGER",
        "authorized_official_telephone_number": "203-306-7881",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "202D00000X",
            "taxonomy_group": "",
            "desc": "Integrative Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Walnut Beach Wellness & Boutique",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Milford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.