The Fascia Clinic LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

THE FASCIA CLINIC LLC

Practice address

1985 Route 34 Ste A10
Wall Township, NJ 07719-9164

Phone

(732) 592-9212

NPI assigned

Jul 10, 2025

Organization subpart

No

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

Authorized official

Name

Heather Natoli, LMT

Title

Owner

Phone

(732) 670-6379

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1752105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752105600000",
    "number": "1215828009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "178 DUTCH LANE RD",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077287734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1985 ROUTE 34 STE A10",
            "city": "WALL TOWNSHIP",
            "state": "NJ",
            "postal_code": "077199164",
            "telephone_number": "732-592-9212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE FASCIA CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-10",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A",
        "authorized_official_last_name": "NATOLI",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-670-6379",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.