NPIMap

Organization Active NPI

Paul and Tasha Massage LLC

Doing business as Body Balance Massage and Float

  • Massage Therapist
  • American Fork, UT
National Provider Identifier
1962150425
Registry record updated Jun 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
PAUL AND TASHA MASSAGE LLC
Doing business as
Body Balance Massage and Float
Practice address
366 S 500 E Ste B
American Fork, UT 84003-2526
Phone
(801) 855-5834
NPI assigned
Mar 14, 2022
Last updated
Jun 15, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2022

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

Authorized official

Name
Paul OuderkirkNPI 1154163616
Title
Clinic Owner
Phone
(801) 855-5834

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 Therapist 225700000X NU Primary

Addresses

Primary practice location

366 S 500 E Ste B
American Fork, UT 84003-2526

Mailing address

366 S 500 E Ste B
American Fork, UT 84003-2526
Phone (801) 855-5834

Other names 1

  • Body Balance Massage and Float Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL paulandtasha@gmail.com Direct

National Provider Directory

National Provider Directory

Locations

366 S 500 E
#B
American Fork, UT 84003
Phone (801) 855-5834

Practitioners & affiliated clinicians

Practitioners 10

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": "1647216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655251200000",
    "number": "1962150425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "366 S 500 E STE B",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840032526",
            "telephone_number": "801-855-5834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "366 S 500 E STE B",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840032526",
            "telephone_number": "801-855-5834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL AND TASHA MASSAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-14",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A",
        "authorized_official_last_name": "OUDERKIRK",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "CLINIC OWNER",
        "authorized_official_telephone_number": "801-855-5834"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "paulandtasha@gmail.com",
            "affiliation": "N",
            "endpointDescription": "We send it securely over email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "366 S 500 E Ste B",
            "city": "American Fork",
            "state": "UT",
            "country_code": "US",
            "postal_code": "840032526",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Body Balance Massage and Float",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in American Fork, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.