Waterfalls Wellness Center LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

WATERFALLS WELLNESS CENTER LLC

Practice address

307 Maple Ave W Ste L
Vienna, VA 22180-4307

Phone

(703) 672-1613

NPI assigned

Jan 25, 2019

Organization subpart

No

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

Authorized official

Name

Ms. Sarah Mae Webster

Title

Owner

Phone

(703) 672-1613

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• Elisa C Cruz

  • Massage Therapist
  • Vienna, VA
  • NPI 1396209565
  NPD (past)
• Michael Mugnolo, CMT, LMT

  • Massage Therapist
  • Vienna, VA
  • NPI 1336603521
  NPD (past)
• Brandon Orlando Williams, CMT, LMT

  • Massage Therapist
  • Vienna, VA
  • NPI 1609330877
  NPD (past)

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

{
    "created_epoch": "1548374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1003370842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 MAPLE AVE W STE L",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221804307",
            "telephone_number": "703-672-1613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 MAPLE AVE W STE L",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221804307",
            "telephone_number": "703-672-1613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATERFALLS WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-25",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "WEBSTER",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "MAE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-672-1613",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Hugh Warner, M.D.
• Leah Warshavsky
• Kimberly Warzynski, DPT
• Washington Pathology Services., Inc
• Shaina Rachel Wasser, DDS
• De'Jon Waters
• Faith B Watson
• Joseph C Watson, MD
• Roger 'Ted' Watson, O.D.
• Trinity Sugeire Watson

• Massage Therapist in Vienna, VA
• Providers in Vienna, VA by specialty
• Massage Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.