Organization Active NPI

Blessed Bridal and Body

  • Massage Therapist
  • Cortland, NY
National Provider Identifier
1962219386
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
BLESSED BRIDAL AND BODY
Practice address
4 Main St
Cortland, NY 13045-2608
Phone
(607) 279-2888
NPI assigned
Dec 18, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2024

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

Authorized official

Name
Valerie Meredith Potter Suk, LMTNPI 1013629294
Title
Owner/ LMT
Phone
(607) 279-2888

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

4 Main St
Cortland, NY 13045-2608

Mailing address

463 Caswell Rd
Freeville, NY 13068-9723
Phone (607) 279-2888

Other practice location 1

1208 Church St
Cortland, NY 13045-9410
Phone (607) 279-2888

Other names 1

  • Blessed Bridal Doing business as

National Provider Directory

National Provider Directory

Locations

4 Main St
Cortland, NY 13045
Phone (607) 279-2888

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1734480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734480000000",
    "number": "1962219386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "463 CASWELL RD",
            "city": "FREEVILLE",
            "state": "NY",
            "postal_code": "130689723",
            "telephone_number": "607-279-2888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 MAIN ST",
            "city": "CORTLAND",
            "state": "NY",
            "postal_code": "130452608",
            "telephone_number": "607-279-2888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1208 Church St",
            "address_purpose": "LOCATION",
            "city": "Cortland",
            "state": "NY",
            "postal_code": "130459410",
            "country_code": "US",
            "telephone_number": "607-279-2888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BLESSED BRIDAL AND BODY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-18",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A",
        "authorized_official_last_name": "SUK",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_middle_name": "MEREDITH POTTER",
        "authorized_official_title_or_position": "OWNER/ LMT",
        "authorized_official_telephone_number": "607-279-2888",
        "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": [
        {
            "organization_name": "Blessed Bridal",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cortland, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.