Active NPI
Legend Wellness Center Incorporated.
- Massage Therapist
- White Plains, NY
National Provider Identifier
1467215624
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Erica Renata de Fatima Chahade, LMT
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 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 DirectoryLocations
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.
-
- Massage Therapist
- White Plains, NY
- NPI 1093677791
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.