MASSAGE SPA AND FACIALS LLC
Complete NPI Record 1134953003
Massage Therapist in Ft Lauderdale, FL

Active since August 31, 2024
3908 N OCEAN BLVD, FT LAUDERDALE, FL 33308(954) 799-6626 Get Directions

NPPES record last updated: August 31, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Complete NPI Dataset

This page contains the complete raw NPPES record for Massage Spa And Facials Llc (NPI 1134953003), a massage therapist organization in Ft Lauderdale, FL. All 28 fields on file are listed with their current values and official NPPES definitions, exactly as recorded in the National Plan and Provider Enumeration System. Only fields that contain data are included, so the number of fields shown varies from one NPI record to another.

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Registry File Document Utilities
NPI: 1134953003
Field 1/28
The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
Entity Type Code: 2
Field 2/28
Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Employer Identification Number EIN: Not available
Field 3/28
The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
Provider Organization Name Legal Business Name: MASSAGE SPA AND FACIALS LLC
Field 4/28
The name of the organization provider. If the provider is an organization, this is the legal business name.
Provider First Line Business Mailing Address: 15701 COLLINS AVE UNIT 805
Field 5/28
The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
Provider Business Mailing Address City Name: SUNNY ISLES BEACH
Field 6/28
The city name in the mailing address of the provider being identified.
Provider Business Mailing Address State Name: FL
Field 7/28
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
Provider Business Mailing Address Postal Code: 331605392
Field 8/28
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
Provider Business Mailing Address Country Code If outside U S : US
Field 9/28
The country code in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address country code".
Provider First Line Business Practice Location Address: 3908 N OCEAN BLVD
Field 10/28
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City Name: FT LAUDERDALE
Field 11/28
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State Name: FL
Field 12/28
The State code in the location of the provider being identified.
Provider Business Practice Location Address Postal Code: 333086443
Field 13/28
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Country Code If outside U S : US
Field 14/28
The country code in the location address of the provider being identified.
Provider Business Practice Location Address Telephone Number: 9547996626
Field 15/28
The telephone number associated with the location address of the provider being identified.
Authorized Official Last Name: MASTER
Field 18/28
The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
Authorized Official First Name: LAWRENCE
Field 19/28
The first name of the authorized official.
Authorized Official Title or Position: PRESIDENT
Field 20/28
The title or position of the authorized official.
Authorized Official Telephone Number: 3058331523
Field 21/28
The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code 1: 225700000X
Field 22/28
This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
Healthcare Provider Primary Taxonomy Switch 1: Y
Field 23/28
This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
Is Organization Subpart: Y
Field 24/28
Indicates whether the provider is a subpart of a larger organization. This is a single-character code: "Y" means the entity is an organizational subpart, while "N" means it is not. Subparts typically include hospital departments, clinics, or other distinct units that fall under a parent organization.
Parent Organization LBN: FEEL GOOD AMERICA LLC
Field 25/28
The Legal Business Name (LBN) of the parent organization, if the provider is a subpart of a larger entity. This field identifies the official registered name of the parent company or organization under which the provider operates.
Parent Organization TIN: Not available
Field 26/28
The Taxpayer Identification Number (TIN) of the parent organization, provided when the provider is a subpart of a larger entity. This field identifies the federal tax ID used by the parent organization for official and billing purposes.
Healthcare Provider Taxonomy Group 1: 193400000X SINGLE SPECIALTY GROUP
Field 27/28
Specifies whether the provider is part of a single-specialty or multi-specialty business group. The possible values are: 193200000X – Multi-Specialty Group or 193400000X – Single Specialty Group. This field helps distinguish the organizational structure of a provider group.
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