Individual provider Active NPI

Joanna Mellinger, LMT

  • Massage Therapist
  • Lititz, PA
National Provider Identifier
1083347553
Registry record updated Jul 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MSG014746 Issued in PA
Practice address
44 Copperfield Cir
Lititz, PA 17543-9482
Phone
(717) 626-6288
Fax
(717) 626-0203
NPI assigned
Jul 2, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MSG014746 PA Primary

Addresses

Primary practice location

44 Copperfield Cir
Lititz, PA 17543-9482

Mailing address

44 Copperfield Cir
Lititz, PA 17543-9482
Phone (717) 626-6288

Other identifiers 1

IdentifierTypeStateIssuer
1234578OtherMASSAGE THERAPY

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL WWW.LITITZMASSAGEWORKS.COM Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MSG014746PAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapeutic Massage Works LLC Massage Therapist CurrentSince Feb 11, 2024 Accepting new patients

Locations

44 Copperfield Cir
Lititz, PA 17543
Phone (717) 626-6288

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1656720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656720000000",
    "number": "1083347553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 COPPERFIELD CIR",
            "city": "LITITZ",
            "state": "PA",
            "postal_code": "175439482",
            "telephone_number": "717-626-6288",
            "fax_number": "717-626-0203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 COPPERFIELD CIR",
            "city": "LITITZ",
            "state": "PA",
            "postal_code": "175439482",
            "telephone_number": "717-626-6288",
            "fax_number": "717-626-0203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELLINGER",
        "first_name": "JOANNA",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-02",
        "last_updated": "2022-07-02",
        "certification_date": "2022-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "PA",
            "license": "MSG014746",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSAGE THERAPY",
            "identifier": "1234578",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "WWW.LITITZMASSAGEWORKS.COM",
            "affiliation": "N",
            "endpointDescription": "WEBSITE",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "OTHER",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "OTHER",
            "address_1": "44 Copperfield Cir",
            "city": "Lititz",
            "state": "PA",
            "country_code": "US",
            "postal_code": "175439482",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lititz, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.