LA DE DA BODY SPA, LLC (NPI# 1013372648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013372648 |
| Entity Type | Organization |
| Organization Name | LA DE DA BODY SPA, LLC |
| Practice Address |
2022 E Robinson St Orlando FL 32803-6045 |
| Practice Telephone | 4079005937 |
| Mailing Telephone | 4079005937 |
| Enumeration Date | 2015-12-26 |
| Last Update Date | 2015-12-26 |
| Authorized Official Name | MRS. HEATHER LYNN CEGIELSKI (OWNER/MASSAGE THERAPIST) |
| Authorized Official Telephone | 4079005937 |
| Authorized Official Credential | LMT,MMP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
MA78414 | FL | Ambulatory Health Care Facilities |
| Y | 225700000X | Massage Therapist | MA78414 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | LMT # MA78414 | MA78414 | 01 |
| Street Address |
2022 E ROBINSON ST |
| City | ORLANDO |
| State | FL |
| Zip Code | 32803-6045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295190858 | Heather Lynn Cegielski | Massage Therapist | 2022 E Robinson St, Orlando, FL 32803-6045 | 2015-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255952636 | Laiza Souza Tanner | Technician | 500 E Rollins St, Orlando, FL 32803 | 2020-04-27 |
| 1407415342 | Betty Carrol | Marriage & Family Therapist | 1516 E Colonial Dr Ste 100, Orlando, FL 32803 | 2019-06-12 |
| 1326606047 | Anthony Balingit | Physical Therapy Assistant | 1870 Aloma Avenue, Orlando, FL 32803 | 2019-05-29 |
| 1396234795 | Natasha Le Morvan | Technician/Technologist | 1364 Ferris Ave, Orlando, FL 32803 | 2018-05-02 |
| 1306365796 | Sarah E Fischer | Nurse Practitioner | Adventhealth Orlando, 601 E Rollins St, Orlando, FL 32803 | 2017-09-17 |
| 1710404249 | Emilia's Direct Care Agency | Community/Behavioral Health | 3218 E Colonial Dr Rm 118, Orlando, FL 32803 | 2017-08-25 |
| 1760907620 | Kalie Brianne Morris | Speech-Language Pathologist | 1120 Portland Ave Unit 7, Orlando, FL 32803 | 2017-08-11 |
| 1972024271 | Tatiana Ungredda | Psychologist | 5201 Raymond St Ste 424, Orlando, FL 32803 | 2017-06-28 |
| 1063942662 | Michael Thomas | Licensed Practical Nurse | 101 South Bumby Ave, E11, Orlando, FL 32803 | 2017-06-15 |
| 1598209249 | Danielle Marin | Behavioral Analyst | 2807 Edgewater Dr, Orlando, FL 32803 | 2016-12-15 |
| Find all providers in zip 32803 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538768049 | Desiree Monique Bethelmie | Massage Therapist | 1608 S Crystal Lake Dr Apt 54, Orlando, FL 32806-3358 | 2020-10-26 |
| 1467051599 | Masae Shimomoto | Massage Therapist | 7422 Radiant Cir, Orlando, FL 32810-3136 | 2020-10-20 |
| 1760080352 | Amanda Lea Gill | Massage Therapist | 3829 Albright Ln, Orlando, FL 32828-6468 | 2020-10-15 |
| 1568060788 | Enoch Leacock | Massage Therapist | 6900 S Orange Blossom Trl Ste 304, Orlando, FL 32809-5736 | 2020-10-09 |
| 1073110466 | Brenden Kuhn | Massage Therapist | 1324 Lake Baldwin Ln Apt B, Orlando, FL 32814-6665 | 2020-10-08 |
| 1013514462 | Sylvia Michelle Burch | Massage Therapist | 1800 Curry Ford Rd, Orlando, FL 32806-2416 | 2020-10-07 |
| 1154928083 | Angelica Inez Jusino | Massage Therapist | 514 Hillcrest St Apt B, Orlando, FL 32803-4505 | 2020-10-05 |
| 1255948097 | Aubrey F Soloven | Massage Therapist | 5635 Marinell Dr, Orlando, FL 32809-4245 | 2020-09-25 |
| 1265049373 | Jessy Kimbrell | Massage Therapist | 5967 Folkstone Ln, Orlando, FL 32822-9420 | 2020-09-23 |
| 1790390516 | Sally E Moon | Massage Therapist | 10216 Kensington Shore Dr, Orlando, FL 32827-7306 | 2020-09-09 |
| Find all providers in ORLANDO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.