Wendell Davis

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

027949-1 Issued in NY

Practice address

11134 Farmers Blvd Ste 10
Saint Albans, NY 11412-2328

Phone

(347) 463-1236

NPI assigned

Nov 17, 2022

Last updated

Nov 17, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Massagebywen PLLC

  • Home Health Agency
  • Rosedale, NY
  • NPI 1003421074
  NPD Authorized official

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

{
    "created_epoch": "1668643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668643200000",
    "number": "1023727138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11134 FARMERS BLVD STE 10",
            "city": "SAINT ALBANS",
            "state": "NY",
            "postal_code": "114122328",
            "telephone_number": "347-463-1236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11134 FARMERS BLVD STE 10",
            "city": "SAINT ALBANS",
            "state": "NY",
            "postal_code": "114122328",
            "telephone_number": "347-463-1236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "WENDELL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-11-17",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "027949-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Wellnessbywen@gmail.com",
            "affiliation": "N",
            "address_1": "11134 Farmers Blvd Ste 10",
            "city": "Saint Albans",
            "state": "NY",
            "country_code": "US",
            "postal_code": "114122328",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Aisha N Dabreo
• Felicha Daley
• Sailaja Damineni, M.D.
• Adeyemo Dania
• Lakecia Lakecia Davis
• Mia Davy
• Latasha Dayes
• Lindsay C Decastro, RN
• Julian Delacruz
• Kimberly Delgado, SPECIALIST

• Massage Therapist in Saint Albans, NY
• Providers in Saint Albans, NY by specialty
• Massage Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2022; 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.