Active NPI
Stone Wellness Farm
Doing business as Cool Waters Wellness
- Massage Therapist
- Fayetteville, NC
National Provider Identifier
1245134030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- Legal business name
- STONE WELLNESS FARM
- Doing business as
- Cool Waters Wellness
- Practice address
- 1404 Raeford Rd
Fayetteville, NC 28305-5028 - Phone
- (910) 633-2464
- Fax
- (844) 444-0917
- NPI assigned
- Oct 5, 2026
- Last updated
- Oct 7, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Johnnie Stone
- Title
- Owner
- Phone
- (910) 633-2464
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | NU | Primary |
Addresses
Primary practice location
1404 Raeford Rd
Fayetteville, NC 28305-5028
Mailing address
4030 Wake Forest Rd Ste 349
Raleigh, NC 27609-0010
Other names 1
- Cool Waters Wellness
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Massage Therapist
- Fayetteville, NC
- NPI 1750189023
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1791158400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1791331200000",
"number": "1245134030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4030 WAKE FOREST RD STE 349",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276090010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1404 RAEFORD RD",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283055028",
"telephone_number": "910-633-2464",
"fax_number": "844-444-0917"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STONE WELLNESS FARM",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-05",
"last_updated": "2026-10-07",
"certification_date": "2026-10-07",
"status": "A",
"authorized_official_last_name": "STONE",
"authorized_official_first_name": "JOHNNIE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "910-633-2464"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Cool Waters Wellness",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.