Individual provider Active NPI

Patricia E Medina

  • Massage Therapist
  • White Plains, NY
National Provider Identifier
1093677791
Registry record updated Dec 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
032966-01 Issued in NY
Practice address
600 N Broadway
White Plains, NY 10603-2466
Phone
(914) 760-6047
NPI assigned
Dec 1, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2025

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 032966-01 NY Primary

Addresses

Primary practice location

600 N Broadway
White Plains, NY 10603-2466

Mailing address

667 Ridge Hill Blvd
Yonkers, NY 10710-7730
Phone (914) 760-6047

Other practice location 1

1915 Central Park Ave Ste 205
Yonkers, NY 10710-2949
Phone (914) 527-2711 ext. 06047

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
032966-01NYMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Legend Wellness Center Incorporated. Massage Therapist CurrentSince Dec 7, 2025 Accepting new patients

Locations

600 N Broadway
White Plains, NY 10603
Phone (914) 760-6047

1915 Central Park Ave
Ste 205
Yonkers, NY 10710
Phone (914) 527-2711

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": "1764547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764547200000",
    "number": "1093677791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "667 RIDGE HILL BLVD",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107107730",
            "telephone_number": "914-760-6047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N BROADWAY",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106032466",
            "telephone_number": "914-760-6047"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1915 Central Park Ave Ste 205",
            "address_purpose": "LOCATION",
            "city": "Yonkers",
            "state": "NY",
            "postal_code": "107102949",
            "country_code": "US",
            "telephone_number": "914-527-2711 x06047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "PATRICIA",
        "middle_name": "E",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-01",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "032966-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2025; 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.