Active NPI
Stacie Lenee Way, LMT
- Massage Therapist
- Bedford, IN
National Provider Identifier
1336079268
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT22608888
- Practice address
- 804 16TH St
Bedford, IN 47421-3823 - Phone
- (812) 583-7310
- Fax
- (762) 214-9268
- NPI assigned
- May 21, 2026
- Sex
- Female
- Sole proprietor
- Yes
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 | MT22608888 | IN | Primary |
Addresses
Primary practice location
804 16TH St
Bedford, IN 47421-3823
Mailing address
804 16TH St
Bedford, IN 47421-3823
Phone (812) 583-7310
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 |
|---|---|---|---|
| MT22608888 | IN | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1779321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779840000000",
"number": "1336079268",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "804 16TH ST",
"city": "BEDFORD",
"state": "IN",
"postal_code": "474213823",
"telephone_number": "812-583-7310",
"fax_number": "762-214-9268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "804 16TH ST",
"city": "BEDFORD",
"state": "IN",
"postal_code": "474213823",
"telephone_number": "812-583-7310",
"fax_number": "762-214-9268"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAY",
"first_name": "STACIE",
"middle_name": "LENEE",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-05-21",
"last_updated": "2026-05-27",
"certification_date": "2026-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "IN",
"license": "MT22608888",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bedford, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 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.