Organization Active NPI

Bodywork Therapies LLC

  • Massage Therapist
  • Greenwood Village, CO
National Provider Identifier
1871913772
Registry record updated Apr 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT-0015642 Issued in CO
Legal business name
BODYWORK THERAPIES LLC
Practice address
6535 S Dayton St
Suite 2820
Greenwood Village, CO 80111-6125
Phone
(720) 306-9151
NPI assigned
Apr 18, 2014
Last updated
Apr 20, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2014

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

Authorized official

Name
Ms. Lara Teile, CNMT, RMT, MLD
Title
Practicing Owner
Phone
(720) 306-9151

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MT-0015642 CO Primary
Reflexologist 173C00000X MT-0015642 CO

Addresses

Primary practice location

6535 S Dayton St
Suite 2820
Greenwood Village, CO 80111-6125

Mailing address

6535 S Dayton St
Suite 2820
Greenwood Village, CO 80111-6125
Phone (720) 306-9151

Other identifiers 1

IdentifierTypeStateIssuer
MT-0015642OtherCODORA

National Provider Directory

National Provider Directory

Locations

6535 S Dayton St
Ste 2820
Greenwood Village, CO 80111
Phone (720) 306-9151

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": "1397779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397952000000",
    "number": "1871913772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6535 S DAYTON ST",
            "address_2": "SUITE 2820",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801116125",
            "telephone_number": "720-306-9151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6535 S DAYTON ST",
            "address_2": "SUITE 2820",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801116125",
            "telephone_number": "720-306-9151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODYWORK THERAPIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-18",
        "last_updated": "2014-04-20",
        "status": "A",
        "authorized_official_last_name": "TEILE",
        "authorized_official_first_name": "LARA",
        "authorized_official_title_or_position": "PRACTICING OWNER",
        "authorized_official_telephone_number": "720-306-9151",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CNMT, RMT, MLD"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CO",
            "license": "MT-0015642",
            "primary": true
        },
        {
            "code": "173C00000X",
            "taxonomy_group": "",
            "desc": "Reflexologist",
            "state": "CO",
            "license": "MT-0015642",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DORA",
            "identifier": "MT-0015642",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood Village, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2014; 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.