Individual provider Active NPI

Tara Novosel, LMT

  • Massage Therapist
  • Harrisburg, PA
National Provider Identifier
1306655238
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MSG006234 Issued in PA
Practice address
6009 Allentown Blvd
Harrisburg, PA 17112-2602
Phone
(717) 657-6281
NPI assigned
Jan 6, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 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 MSG006234 PA Primary

Addresses

Primary practice location

6009 Allentown Blvd
Harrisburg, PA 17112-2602

Mailing address

73 Fairfax VLG
Harrisburg, PA 17112-9556
Phone (717) 623-1931

Other identifiers 1

IdentifierTypeStateIssuer
16334630OtherPACAQH

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
MSG006234PAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Zen & Now Wellness Apothecary, LLC CurrentSince Jan 12, 2025 Accepting new patients

Locations

6009 Allentown Blvd
Harrisburg, PA 17112
Phone (717) 657-6281

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": "1736121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1306655238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 FAIRFAX VLG",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171129556",
            "telephone_number": "717-623-1931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6009 ALLENTOWN BLVD",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171122602",
            "telephone_number": "717-657-6281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVOSEL",
        "first_name": "TARA",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-06",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "PA",
            "license": "MSG006234",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "16334630",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.