Samadhi Bodywork Corporation

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

SAMADHI BODYWORK CORPORATION

Practice address

11045 SW 216 Street
Suite 2
Miami, FL 33170

Phone

(786) 488-1830

NPI assigned

Mar 12, 2021

Organization subpart

No

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

Authorized official

Name

Omar R Mesa, BCBANPI 1326553843

Title

Owner

Phone

(786) 488-1830

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Omar R Mesa

  • Behavior Analyst
  • Homestead, FL
  • NPI 1326553843
  NPD Authorized official

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

{
    "created_epoch": "1615507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691539200000",
    "number": "1992380885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "374 SW 16TH TER",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330306627",
            "telephone_number": "786-488-1830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11045 SW 216 STREET",
            "address_2": "SUITE 2",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33170",
            "telephone_number": "786-488-1830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMADHI BODYWORK CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-12",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-08",
        "status": "A",
        "authorized_official_last_name": "MESA",
        "authorized_official_first_name": "OMAR",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-488-1830",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carlos Lorenzo Sama II, LMT
• Michael Anthony Sama, M.D.
• Karel Samada Fernandez
• Keyla Martha Samada Granda
• Carlos J Samada, DPM
• Georges Samaha, M.D.
• Mario Samaha, MD
• Badhuli Samal
• Yakelin Samalea Ayarde, APRN
• Silvia Patricia Samanez Larkin, PHD

• All providers in Miami, FL
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; 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.