Organization Active NPI

Rejuvenate Bodyworks, PL

  • Massage Therapist
  • Lakeland, FL
National Provider Identifier
1891076741
Registry record updated Sep 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA34453 Issued in FL
Legal business name
REJUVENATE BODYWORKS, PL
Practice address
112 E Pine St
Lakeland, FL 33801-4965
Phone
(863) 397-7531
NPI assigned
Sep 6, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2011

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

Authorized official

Name
Ms. Leah M Stine, LMT
Title
Owner
Phone
(863) 397-7531

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X MA34453 FL Primary

Addresses

Primary practice location

112 E Pine St
Lakeland, FL 33801-4965

Mailing address

11919 Backland Path Rd
Polk City, FL 33868-2604
Phone (863) 397-7531

National Provider Directory

National Provider Directory

Locations

112 E Pine St
Lakeland, FL 33801
Phone (863) 397-7531

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": "1315267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315267200000",
    "number": "1891076741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11919 BACKLAND PATH RD",
            "city": "POLK CITY",
            "state": "FL",
            "postal_code": "338682604",
            "telephone_number": "863-397-7531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 E PINE ST",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338014965",
            "telephone_number": "863-397-7531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REJUVENATE BODYWORKS, PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-06",
        "last_updated": "2011-09-06",
        "status": "A",
        "authorized_official_last_name": "STINE",
        "authorized_official_first_name": "LEAH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "863-397-7531",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA34453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2011; 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.