Waves of Wellness Medical Massage LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

WAVES OF WELLNESS MEDICAL MASSAGE LLC

Practice address

1603 10TH Ave
Vero Beach, FL 32960-6231

Phone

(772) 539-6316

NPI assigned

Jul 22, 2024

Organization subpart

No

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

Authorized official

Name

Kelly Machata, LMT

Title

Member of the LLC/ Co Owner

Phone

(772) 539-6316

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tyler Rupchis, LMT

  • Massage Therapist
  • Vero Beach, FL
  • NPI 1902633266
  NPD

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

{
    "created_epoch": "1721606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721606400000",
    "number": "1932937182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "583 28TH AVE SW",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329683202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1603 10TH AVE",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606231",
            "telephone_number": "772-539-6316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAVES OF WELLNESS MEDICAL MASSAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-22",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-21",
        "status": "A",
        "authorized_official_last_name": "MACHATA",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "MEMBER OF THE LLC/ CO OWNER",
        "authorized_official_telephone_number": "772-539-6316",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bari Lynn Wasserman, PTA
• Kori Watkins, OD
• Samuel Watkins, MD
• Samantha Joan Watson, APRN
• Wave Treatment Centers LLC
• Mallory Anne Weatherly, APRN
• Emily Weaver
• Kimberly Marie Webb-Meadows
• Brianna Marie Webb, D.M.D.
• Daisy Delions Webb

• Massage Therapist in Vero Beach, FL
• Providers in Vero Beach, FL by specialty
• Massage Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; 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.