Organization Active NPI

Lotus Blossom Oriental Massage, Inc

Doing business as Lotus Blossom Massage

  • Massage Therapist
  • Orlando, FL
National Provider Identifier
1972893378
Registry record updated Apr 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MM25909 Issued in FL
Legal business name
LOTUS BLOSSOM ORIENTAL MASSAGE, INC
Doing business as
Lotus Blossom Massage
Practice address
10249 S John Young Pkwy
Unit 106
Orlando, FL 32837-4022
Phone
(407) 674-7986
Fax
(407) 674-7987
NPI assigned
Apr 19, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2011

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

Authorized official

Name
Mr. Wayne William Parker
Title
Owner
Phone
(407) 674-7986

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X MM25909 FL Primary

Addresses

Primary practice location

10249 S John Young Pkwy
Unit 106
Orlando, FL 32837-4022

Mailing address

10249 S John Young Pkwy
Unit 106
Orlando, FL 32837-4022
Phone (407) 674-7986

Other names 1

  • LOTUS BLOSSOM MASSAGE Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lotus Blossom Massage2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

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": "1303171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303171200000",
    "number": "1972893378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10249 S JOHN YOUNG PKWY",
            "address_2": "UNIT 106",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328374022",
            "telephone_number": "407-674-7986",
            "fax_number": "407-674-7987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10249 S JOHN YOUNG PKWY",
            "address_2": "UNIT 106",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328374022",
            "telephone_number": "407-674-7986",
            "fax_number": "407-674-7987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOTUS BLOSSOM ORIENTAL MASSAGE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-19",
        "last_updated": "2011-04-19",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-674-7986",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MM25909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LOTUS BLOSSOM MASSAGE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2011; 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.