Organization Active NPI

Green Owl Body Therapies

  • Massage Therapist
  • Mineral Springs, NC
National Provider Identifier
1922978840
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
GREEN OWL BODY THERAPIES
Practice address
5910 Waxhaw Hwy
Suite B
Mineral Springs, NC 28108
Phone
(704) 771-2774
NPI assigned
Nov 6, 2025
Last updated
Nov 6, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2025

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

Authorized official

Name
Mr. William Gray Lehan Jr., LBMTNPI 1801746359
Title
Vice President
Phone
(704) 771-2774

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

5910 Waxhaw Hwy
Suite B
Mineral Springs, NC 28108

Mailing address

6907 Birdsong LN
Waxhaw, NC 28173-7407
Phone (704) 771-2774

National Provider Directory

National Provider Directory

Locations

5910 Waxhaw Hwy Ste B
Ste B
Mineral Springs, NC 28108
Phone (704) 771-2774

Practitioners & affiliated clinicians

Practitioners 2

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": "1762387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762387200000",
    "number": "1922978840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6907 BIRDSONG LN",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281737407",
            "telephone_number": "704-771-2774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5910 WAXHAW HWY",
            "address_2": "SUITE B",
            "city": "MINERAL SPRINGS",
            "state": "NC",
            "postal_code": "28108",
            "telephone_number": "704-771-2774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN OWL BODY THERAPIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-06",
        "last_updated": "2025-11-06",
        "certification_date": "2025-10-21",
        "status": "A",
        "authorized_official_last_name": "LEHAN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "GRAY",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "704-771-2774",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "LBMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mineral Springs, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2025; 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.