NPIMap

Organization Active NPI

Positive Wave L.L.C

Doing business as Positive Waves L.L.C

  • Massage Therapist
  • Radcliff, KY
National Provider Identifier
1861860751
Registry record updated Sep 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
POSITIVE WAVE L.L.C
Doing business as
Positive Waves L.L.C
Practice address
955 N Wilson Rd
B
Radcliff, KY 40160
Phone
(270) 748-1824
NPI assigned
Sep 9, 2015
Last updated
Sep 9, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2015

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

Authorized official

Name
Mrs. Jade Conrad, L.M.T.NPI 1265804983
Title
Owner
Phone
(270) 748-1824

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

955 N Wilson Rd
B
Radcliff, KY 40160

Mailing address

955 N Wilson Rd
B
Radcliff, KY 40160
Phone (270) 748-1824

Other names 1

  • Positive Waves L.L.C Doing business as

National Provider Directory

National Provider Directory

Locations

955 N Wilson Rd
Ste B
Radcliff, KY 40160
Phone (270) 748-1824

Practitioners & affiliated clinicians

Practitioners 1

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": "1441756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441756800000",
    "number": "1861860751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 N WILSON RD",
            "address_2": "B",
            "city": "RADCLIFF",
            "state": "KY",
            "postal_code": "40160",
            "telephone_number": "270-748-1824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 N WILSON RD",
            "address_2": "B",
            "city": "RADCLIFF",
            "state": "KY",
            "postal_code": "40160",
            "telephone_number": "270-748-1824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POSITIVE WAVE L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-09",
        "last_updated": "2015-09-09",
        "status": "A",
        "authorized_official_last_name": "CONRAD",
        "authorized_official_first_name": "JADE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-748-1824",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "L.M.T."
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Positive Waves L.L.C",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Radcliff, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2015; 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.