Joan Michele Maulella, LICENSED MASSAGE

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

007688 Issued in NY

Practice address

5 Fairlawn Dr Ste 300
Washingtonville, NY 10992-1290

Phone

(917) 573-8382

NPI assigned

Nov 26, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Well Rooted Massage Therapy PLLC

  • Massage Therapist
  • Washingtonville, NY
  • NPI 1689331571
  NPD Authorized official

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

{
    "created_epoch": "1637884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637884800000",
    "number": "1427715317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 FAIRLAWN DR STE 300",
            "city": "WASHINGTONVILLE",
            "state": "NY",
            "postal_code": "109921290",
            "telephone_number": "917-573-8382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 FAIRLAWN DR STE 300",
            "city": "WASHINGTONVILLE",
            "state": "NY",
            "postal_code": "109921290",
            "telephone_number": "917-573-8382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAULELLA",
        "first_name": "JOAN",
        "middle_name": "MICHELE",
        "name_prefix": "Miss",
        "credential": "LICENSED MASSAGE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-26",
        "last_updated": "2021-11-26",
        "certification_date": "2021-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "007688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Wellrootedmassagetherapy@gmail.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5 Fairlawn Dr Ste 300",
            "city": "Washingtonville",
            "state": "NY",
            "country_code": "US",
            "postal_code": "109921290",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Wellrootedmassagetherapy@gmail.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5 Fairlawn Dr Ste 300",
            "city": "Washingtonville",
            "state": "NY",
            "country_code": "US",
            "postal_code": "109921290",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Massage Therapist in Washingtonville, NY
• Providers in Washingtonville, NY by specialty
• Massage Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2021; 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.