Mirage Bodywork LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

MIRAGE BODYWORK LLC

Practice address

39 N Main St
Ambler, PA 19002-5621

Phone

(267) 210-8139

NPI assigned

Jul 27, 2026

Organization subpart

No

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

Authorized official

Name

Miranda Bacon, LMTNPI 1184546962

Title

Massage Therapist

Phone

(267) 210-8139

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Miranda Bacon, LMT

  • Massage Therapist
  • Ambler, PA
  • NPI 1184546962
  NPD (past) Authorized official

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

{
    "created_epoch": "1785110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785110400000",
    "number": "1265354955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 N MAIN ST",
            "city": "AMBLER",
            "state": "PA",
            "postal_code": "190025621",
            "telephone_number": "267-210-8139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 N MAIN ST",
            "city": "AMBLER",
            "state": "PA",
            "postal_code": "190025621",
            "telephone_number": "267-210-8139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRAGE BODYWORK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-27",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A",
        "authorized_official_last_name": "BACON",
        "authorized_official_first_name": "MIRANDA",
        "authorized_official_title_or_position": "MASSAGE THERAPIST",
        "authorized_official_telephone_number": "267-210-8139",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meredith a. Cheifetz, Ms, Rd, LLC
• Michael a. Coppola
• Michael E. Newman DPM
• Amber Lee Miller, LPC
• Dianne M. Miller, DPT
• Susan Mitchell
• John Moderski, RPH
• Tracy L Molloy, CPNP
• Shameem Momin, M.D.
• Jeannette Cassidy Moore, LCSW

• Massage Therapist in Ambler, PA
• Providers in Ambler, PA by specialty
• Massage Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2026; 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.