Theta Massage and Bodywork LLC.

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

THETA MASSAGE AND BODYWORK LLC.

Practice address

255 Flynn Ave
Burlington, VT 05401-5303

Phone

(336) 575-6124

NPI assigned

Apr 20, 2022

Last updated

Apr 20, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Emily Dayle Jordan, LMBT

Title

Co-Owner

Phone

(336) 575-6124

Specialties & licenses 1

Addresses

Electronic endpoints 3

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

{
    "created_epoch": "1650412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650412800000",
    "number": "1881337400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 FLYNN AVE",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054015303",
            "telephone_number": "336-575-6124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 FLYNN AVE",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054015303",
            "telephone_number": "336-575-6124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THETA MASSAGE AND BODYWORK LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-20",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "DAYLE",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "336-575-6124",
        "authorized_official_credential": "LMBT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "thetamassageandbodywork.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "255 Flynn Ave",
            "city": "Burlington",
            "state": "VT",
            "country_code": "US",
            "postal_code": "054015303",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "thetamassageandbodywork.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "255 Flynn Ave",
            "city": "Burlington",
            "state": "VT",
            "country_code": "US",
            "postal_code": "054015303",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "thtamassagangbodywork.com",
            "affiliation": "N",
            "address_1": "255 Flynn Ave",
            "city": "Burlington",
            "state": "VT",
            "country_code": "US",
            "postal_code": "054015303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• The Lund Family Center
• The Wellness Collective
• Therapeutic Works Incorporated
• Kyle Steven Theriault, PHARMD.
• Jeremy Therrien, LCMHC
• Maria Erb Thibault, PT, ATC
• Alissa A. Thomas, M.D.
• Beth Anne Thomas, PA-C
• Kristine J Thomas, P.A.
• Ryan Mitchell Thomas, MD

• Massage Therapist in Burlington, VT
• Providers in Burlington, VT by specialty
• Massage Therapist in Vermont

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