JA SPA, LLC (NPI# 1558684548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558684548 |
| Entity Type | Organization |
| Organization Name | JA SPA, LLC |
| Other Organization Name | JA SPA & FITNESS, LLC |
| Practice Address |
16 W Main St Marcellus NY 13108-1118 |
| Practice Telephone | 3156733838 |
| Practice Fax Number | 3156733866 |
| Mailing Telephone | 3156733838 |
| Mailing Fax Number | 3156733866 |
| Enumeration Date | 2010-03-05 |
| Last Update Date | 2010-03-05 |
| Authorized Official Name | PATRICIA ANN PHILLIPS (CORPORATE SECRETARY) |
| Authorized Official Telephone | 3156733838 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Other Name | Type Code |
|---|---|
| Ja Spa & Fitness, LLC | Doing Business As Name - Organization |
| Street Address |
16 W MAIN ST |
| City | MARCELLUS |
| State | NY |
| Zip Code | 13108-1118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174693170 | David Samuel Dinello | Emergency Medicine | 2380 Cherry Valley Turnpike, Marcellus, NY 13108 | 2006-11-08 |
| 1568495323 | Khatuna Stepkovitch | Internal Medicine | 1/2 Orange Street, Dr.stepkovitch's Ofice, Marcellus, NY 13108 | 2006-07-07 |
| 1952389165 | Ramon Berrios | Family Medicine | 1/2 Orange St, Marcellus, NY 13108 | 2006-01-06 |
| 1780840405 | Anna J. Sturtz | Nurse Practitioner | 1/2 Orange Street, Marcellus, NY 13108 | 2008-08-01 |
| 1437453560 | Melissa E Cole | Speech-Language Pathologist | 4416 Dublin Rd, Marcellus, NY 13108-1016 | 2011-01-04 |
| 1659905966 | Anne R Smyth | Massage Therapist | 6 W Main St, Marcellus, NY 13108-1118 | 2020-02-25 |
| 1376016576 | Cornerstone Family Chiropractic Pllc | Chiropractor | 6 W Main St, Marcellus, NY 13108-1118 | 2019-01-10 |
| 1093189854 | Katrine Ferguson | Chiropractor | 6 W Main St, Marcellus, NY 13108-1118 | 2015-11-17 |
| 1386883882 | Leonard R Phillips | Counselor | 36 Reed St, Marcellus, NY 13108-1128 | 2009-02-07 |
| 1003150533 | Diane F. Snyder | Registered Nurse | 27 W. Main St, Marcellus, NY 13108-1131 | 2012-11-21 |
| Find all providers in zip 13108 | ||||
| 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 |
|---|---|---|---|---|
| 1003316795 | Maria Rose Ann Demitchell | Massage Therapist | 3444 Williams Rd, Marcellus, NY 13108-9627 | 2018-02-19 |
| 1659905966 | Anne R Smyth | Massage Therapist | 6 W Main St, Marcellus, NY 13108-1118 | 2020-02-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548861354 | Stephen Quinn | Massage Therapist | 72 Steuben Rd, Garrison, NY 10524-7417 | 2020-11-06 |
| 1750982567 | Moises Payero | Massage Therapist | 407 Beach 20th St Apt 3b, Far Rockaway, NY 11691-3638 | 2020-11-06 |
| 1447851589 | Emily Nicole Bagnasco | Massage Therapist | 827 S 5th St, Lindenhurst, NY 11757-5625 | 2020-11-04 |
| 1053912162 | Chanel Marie Poole | Massage Therapist | 1234 Abbott Rd Ste 230, Lackawanna, NY 14218-1946 | 2020-11-04 |
| 1144821562 | Deping Song | Massage Therapist | 4002 Bowne St, #228, Flushing, NY 11354-6142 | 2020-11-03 |
| 1881295400 | Yoshiko Yamamoto | Massage Therapist | 4914 43rd Ave Apt 3, Woodside, NY 11377-4598 | 2020-11-02 |
| 1780285254 | Devante Quareed Thompson | Massage Therapist | 8944 Metropolitan Ave # 89-44, Rego Park, NY 11374-5331 | 2020-11-02 |
| 1396345062 | Amy Nadine Baker | Massage Therapist | 611 Broadway Rm 814, New York, NY 10012-0032 | 2020-10-30 |
| 1972102655 | Maria Carmen Tapia | Massage Therapist | 14749 72nd Dr Apt 3d, Flushing, NY 11367-2533 | 2020-10-22 |
| 1346849262 | Reddy for Acupuncture | Massage Therapist | 2807 Merrick Rd, Bellmore, NY 11710-5724 | 2020-10-21 |
| Find all providers with the same taxonomy | ||||
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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.