Active NPI
Patricia E Medina
- Massage Therapist
- White Plains, NY
National Provider Identifier
1093677791
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 032966-01
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 032966-01 | NY | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legend Wellness Center Incorporated. | Massage Therapist | Current | 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.
-
- Massage Therapist
- White Plains, NY
- NPI 1467215624
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.