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SUPREME SERENITY SPA OF ANNANDALE LLC
NPI 1457229023
Massage Therapist in Annandale, VA

Active since October 27, 2025
5101A BACKLICK RD, ANNANDALE, VA 22003(571) 982-2405 Get Directions Write a Review

NPPES record last updated: October 27, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Supreme Serenity Spa Of Annandale Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUPREME SERENITY SPA OF ANNANDALE LLC (NPI 1457229023) is a healthcare organization registered as a massage therapist in Annandale, Virginia and active in the NPI registry since October 2025. The organization lists Anthony Jay Courtney, Ceo, as its authorized official.

NPPES Registry Identity

NPI1457229023
Entity TypeOrganization
Primary Taxonomy225700000X
Legal Business NameSUPREME SERENITY SPA OF ANNANDALE LLC
Location Address5101A BACKLICK RDAnnandale, VA 22003-6080
Mailing Address5101a Backlick RdAnnandale, VA 22003-6080 · (571) 982-2405
Phone(571) 982-2405
Organization SubpartNo
Authorized OfficialAnthony Jay CourtneyCeo · (571) 982-2405
Enumeration DateOctober 27, 2025
NPPES CertifiedOctober 27, 2025
✔ NPI 1457229023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
5101A BACKLICK RD, Annandale, VA 22003
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MONICA LOPEZ-RIVERA DC
Chiropractor
5101A BACKLICK RD
ANNANDALE, VA 22003
Fairfax County (703) 333-5022
MS. KHALIUNAA CHIMGEE VIRGINIA LMT
Massage Therapist
5101A BACKLICK RD
ANNANDALE, VA 22003
Fairfax County (571) 982-2405
TUGSJARGAL AYUSH LMT
Massage Therapist
5101A BACKLICK RD
ANNANDALE, VA 22003
Fairfax County (571) 359-8056
CAPITOL REHAB & WELLNESS OF ANNANDALE, LLC
Chiropractor
5101A BACKLICK RD
ANNANDALE, VA 22003
Fairfax County (703) 333-5022
ALICIA WADE
Massage Therapist
5101A BACKLICK RD
ANNANDALE, VA 22003
Fairfax County (571) 982-2405
MRS. JACLYN MICHELLE SARGENT LPC, ATR-BC, LCPAT
Counselor (Mental Health)
5101A BACKLICK RD
ANNANDALE, VA 22003
Fairfax County (571) 418-1714

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Supreme Serenity Spa Of Annandale LLC's NPI number?

The NPI number for Supreme Serenity Spa Of Annandale LLC is 1457229023. It was assigned to this organization in the NPPES registry on October 27, 2025.

Where is Supreme Serenity Spa Of Annandale LLC located?

Supreme Serenity Spa Of Annandale LLC is located at 5101A Backlick Rd, Annandale, VA 22003. The listed phone number is (571) 982-2405.

What is Supreme Serenity Spa Of Annandale LLC's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Supreme Serenity Spa Of Annandale LLC was last updated on October 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.