Brenda L Ovando, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

032994 Issued in NY

Practice address

97 Park Ave Ste D
Rochester, NY 14607-2431

Phone

(585) 210-3439

NPI assigned

Dec 16, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Body Well Retreat LLC

  • Massage Therapist
  • Rochester, NY
  • NPI 1003509050
  NPD Authorized official

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

{
    "created_epoch": "1608076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667952000000",
    "number": "1811583594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 PARK AVE STE D",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146072431",
            "telephone_number": "585-210-3439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 PARK AVE STE D",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146072431",
            "telephone_number": "585-210-3439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OVANDO",
        "first_name": "BRENDA",
        "middle_name": "L",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-16",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "032994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "bodywellretreat.com",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Website",
            "address_1": "97 Park Ave Ste D",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146072431",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sue E Ouellette, LMFT
• Fatiha Ousalem, D.M.D.
• Out of the Darkness, Inc
• Jeremy Norman Outinen, OD
• Carmillia Outing-Thomas
• Claire Ovenshire, RN
• Jennifer Lee Overbeck, M.S., CCC-SLP
• Emma M Overfield, OTR/L
• Scott Overholt, DDS
• Heather Lynn Overslaugh, FNP

• Massage Therapist in Rochester, NY
• Providers in Rochester, NY by specialty
• Massage Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2022; 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.