Organization Active NPI

Legend Wellness Center Incorporated.

  • Massage Therapist
  • White Plains, NY
National Provider Identifier
1467215624
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
LEGEND WELLNESS CENTER INCORPORATED.
Practice address
600 N Broadway
White Plains, NY 10603-2466
Phone
(914) 760-6047
NPI assigned
Jan 31, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

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

Authorized official

Name
Erica Renata de Fatima Chahade, LMTNPI 1932825536
Title
Owner
Phone
(914) 760-6047

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

600 N Broadway
White Plains, NY 10603-2466

Mailing address

131 Fairways CT
Carmel, NY 10512-5412
Phone (914) 760-6047

Other practice location 1

1915 Central Park Ave Ste 205
Yonkers, NY 10710-2949
Phone (914) 527-2711

National Provider Directory

National Provider Directory

Locations

600 N Broadway
White Plains, NY 10603
Phone (914) 760-6047

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1706659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706659200000",
    "number": "1467215624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 FAIRWAYS CT",
            "city": "CARMEL",
            "state": "NY",
            "postal_code": "105125412",
            "telephone_number": "914-760-6047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N BROADWAY",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106032466",
            "telephone_number": "914-760-6047"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1915 Central Park Ave Ste 205",
            "address_purpose": "LOCATION",
            "city": "Yonkers",
            "state": "NY",
            "postal_code": "107102949",
            "country_code": "US",
            "telephone_number": "914-527-2711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LEGEND WELLNESS CENTER INCORPORATED.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-31",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A",
        "authorized_official_last_name": "CHAHADE",
        "authorized_official_first_name": "ERICA",
        "authorized_official_middle_name": "RENATA DE FATIMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-760-6047",
        "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": []
}

Other providers in White Plains, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; 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.