Entire Recovery Bodyworks, LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

ENTIRE RECOVERY BODYWORKS, LLC

Practice address

604 Sugarland Run Dr
Sterling, VA 20164-1115

Phone

(571) 245-4638

NPI assigned

Mar 3, 2022

Last updated

Mar 22, 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

Gianina Isabel Vega, MMP, LMT, CMT

Title

Massage Therapist

Phone

(571) 245-4638

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1646265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647907200000",
    "number": "1952058539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 SUGARLAND RUN DR",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201641115",
            "telephone_number": "571-245-4638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 SUGARLAND RUN DR",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201641115",
            "telephone_number": "571-245-4638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENTIRE RECOVERY BODYWORKS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-03",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-22",
        "status": "A",
        "authorized_official_last_name": "VEGA",
        "authorized_official_first_name": "GIANINA",
        "authorized_official_middle_name": "ISABEL",
        "authorized_official_title_or_position": "MASSAGE THERAPIST",
        "authorized_official_telephone_number": "571-245-4638",
        "authorized_official_credential": "MMP, LMT, CMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.erbodyworks.com",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Scheduling",
            "address_1": "604 Sugarland Run Dr",
            "city": "Sterling",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201641115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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