Organization Active NPI

Coastal Massage and Wellness

  • Massage Therapist
  • Jacksonville, NC
National Provider Identifier
1851054118
Registry record updated Oct 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
COASTAL MASSAGE AND WELLNESS
Practice address
411 Western Blvd Ste B
Jacksonville, NC 28546-6822
Phone
(910) 581-2900
NPI assigned
Oct 14, 2021
Last updated
Oct 14, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2021

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

Authorized official

Name
Jessie Weinzatl, MASSAGE THERAPISTNPI 1720611270
Title
Owner
Phone
(303) 888-0680

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 Therapist 225700000X NU Primary

Addresses

Primary practice location

411 Western Blvd Ste B
Jacksonville, NC 28546-6822

Mailing address

104 Yucca CT
Jacksonville, NC 28546
Phone (303) 888-0680

Electronic endpoints 2

TypeEndpointUseAffiliation
SOAP URL Massagebook
SOAP URL Massagebook

National Provider Directory

National Provider Directory

Locations

411 Western Blvd
Ste B
Jacksonville, NC 28546
Phone (910) 381-2262

Practitioners & affiliated clinicians

Practitioners 4

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": "1634169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634169600000",
    "number": "1851054118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 YUCCA CT",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "28546",
            "telephone_number": "303-888-0680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 WESTERN BLVD STE B",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285466822",
            "telephone_number": "910-581-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL MASSAGE AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-14",
        "last_updated": "2021-10-14",
        "certification_date": "2021-10-14",
        "status": "A",
        "authorized_official_last_name": "WEINZATL",
        "authorized_official_first_name": "JESSIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-888-0680",
        "authorized_official_credential": "MASSAGE THERAPIST"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Massagebook",
            "affiliation": "N",
            "address_1": "411 Western Blvd Ste B",
            "city": "Jacksonville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "285466822",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Massagebook",
            "affiliation": "N",
            "address_1": "411 Western Blvd Ste B",
            "city": "Jacksonville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "285466822",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jacksonville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2021; 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.