Organization Active NPI

Divinely Chaotic Wellness

  • Massage Therapist
  • Virginia Beach, VA
National Provider Identifier
1790608610
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
DIVINELY CHAOTIC WELLNESS
Practice address
4169 Virginia Beach Blvd Ste 109
Virginia Beach, VA 23452-1761
Phone
(757) 689-7802
NPI assigned
Jul 30, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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

Authorized official

Name
Tiffany CarterNPI 1205752615
Title
Owner/ Massage Therapist
Phone
(757) 389-2544

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

4169 Virginia Beach Blvd Ste 109
Virginia Beach, VA 23452-1761

Mailing address

3600 Kingdom CT
Virginia Beach, VA 23452-3202

National Provider Directory

National Provider Directory

Locations

4169 Virginia Beach Blvd
Ste 109
Virginia Beach, VA 23452

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": "1785369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786406400000",
    "number": "1790608610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 KINGDOM CT",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234523202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4169 VIRGINIA BEACH BLVD STE 109",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234521761",
            "telephone_number": "757-689-7802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINELY CHAOTIC WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-30",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "OWNER/ MASSAGE THERAPIST",
        "authorized_official_telephone_number": "757-389-2544"
    },
    "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 Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; 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.