Organization Active NPI

Univers Medical Massage

  • Massage Therapist
  • Pearl, MS
National Provider Identifier
1831955731
Registry record updated Feb 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
UNIVERS MEDICAL MASSAGE
Practice address
110 Cross Park Dr
Pearl, MS 39208-9016
Phone
(601) 506-5784
Fax
(601) 397-6732
NPI assigned
Feb 27, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2024

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

Authorized official

Name
Monika V WilsonNPI 1770246118
Title
Owner
Phone
(601) 506-5784

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

110 Cross Park Dr
Pearl, MS 39208-9016

Mailing address

110 Cross Park Dr Ste a
Pearl, MS 39208-9016
Phone (601) 506-5784

Other names 1

  • Universal Medical Massage Doing business as

National Provider Directory

National Provider Directory

Locations

110 Cross Park Dr
Pearl, MS 39208
Phone (601) 506-5784

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": "1708992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708992000000",
    "number": "1831955731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 CROSS PARK DR STE A",
            "city": "PEARL",
            "state": "MS",
            "postal_code": "392089016",
            "telephone_number": "601-506-5784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 CROSS PARK DR",
            "city": "PEARL",
            "state": "MS",
            "postal_code": "392089016",
            "telephone_number": "601-506-5784",
            "fax_number": "601-397-6732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERS MEDICAL MASSAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-27",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "MONIKA",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-506-5784"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Universal Medical Massage",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pearl, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.