Wellness Way Massage LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

WELLNESS WAY MASSAGE LLC

Practice address

2738 W College Ave Ste A175
State College, PA 16801-2646

Phone

(814) 321-1921

NPI assigned

Jan 5, 2024

Organization subpart

No

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

Authorized official

Name

Benjamin Ciccarone, LMTNPI 1992586887

Title

Owner

Phone

(814) 321-1921

Specialties & licenses 1

Addresses

Other names 1

• Wellness Way Massage Doing business as

Locations

Practitioners 1

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

• Benjamin Ciccarone, LMT

  • Massage Therapist
  • State College, PA
  • NPI 1992586887
  NPD Authorized official

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

{
    "created_epoch": "1704412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704412800000",
    "number": "1487424933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2332 PARK CENTER BLVD",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168013076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2738 W COLLEGE AVE STE A175",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168012646",
            "telephone_number": "814-321-1921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS WAY MASSAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-05",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A",
        "authorized_official_last_name": "CICCARONE",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814-321-1921",
        "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": [
        {
            "organization_name": "Wellness Way Massage",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gregory Ross Weimer, MD
• Weis Markets Inc
• Megan Weisbrode, MS, OTR/L
• Haley Annette Weiss, MA, NCC
• Sandra Weiss, LCSW
• Donald W Wells, DDS
• James Albert Welsh, PH.D.
• Christopher W Wenda, MPT
• Zachary Tyler Wenger
• Vanessa Wentz, MA

• Massage Therapist in State College, PA
• Providers in State College, PA by specialty
• Massage Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.