Organization Active NPI

Momentum Massage, LLC

  • Massage Therapist
  • Peoria, AZ
National Provider Identifier
1962101667
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
MOMENTUM MASSAGE, LLC
Practice address
9299 W Olive Ave Ste 412
Peoria, AZ 85345-8383
Phone
(480) 474-7997
NPI assigned
Mar 1, 2023
Last updated
Jan 3, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2024

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

Authorized official

Name
Mr. Aaron HullNPI 1861064495
Title
Owner
Phone
(480) 474-7997

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

9299 W Olive Ave Ste 412
Peoria, AZ 85345-8383

Mailing address

4318 W Kimberly Way
Glendale, AZ 85308-4411
Phone (480) 474-7997

National Provider Directory

National Provider Directory

Locations

9299 W Olive Ave
Ste 412
Peoria, AZ 85345
Phone (480) 474-7997

13610 N Scottsdale Rd
Ste 15
Scottsdale, AZ 85254
Phone (602) 295-0061

Practitioners & affiliated clinicians

Practitioners 1

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": "1677628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704240000000",
    "number": "1962101667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4318 W KIMBERLY WAY",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853084411",
            "telephone_number": "480-474-7997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9299 W OLIVE AVE STE 412",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853458383",
            "telephone_number": "480-474-7997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOMENTUM MASSAGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-01",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A",
        "authorized_official_last_name": "HULL",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-474-7997",
        "authorized_official_name_prefix": "Mr."
    },
    "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 Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.