NPIMap

Organization Active NPI

Well Rooted Massage Therapy PLLC

  • Massage Therapist
  • Washingtonville, NY
National Provider Identifier
1689331571
Registry record updated Nov 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
WELL ROOTED MASSAGE THERAPY PLLC
Practice address
5 Fairlawn Dr Ste 300
Washingtonville, NY 10992-1290
Phone
(917) 573-8382
NPI assigned
Nov 26, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2021

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

Authorized official

Name
Joan Michele MaulellaNPI 1427715317
Title
Owner
Phone
(917) 573-8382

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 MULTIPLE SINGLE SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

5 Fairlawn Dr Ste 300
Washingtonville, NY 10992-1290

Mailing address

5 Fairlawn Dr Ste 300
Washingtonville, NY 10992-1290
Phone (917) 573-8382

National Provider Directory

National Provider Directory

Locations

5 Fairlawn Dr
Ste 300
Washingtonville, NY 10992
Phone (917) 573-8382

Practitioners & affiliated clinicians

Practitioners 1

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": "1637884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637884800000",
    "number": "1689331571",
    "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": {
        "organization_name": "WELL ROOTED MASSAGE THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-26",
        "last_updated": "2021-11-26",
        "certification_date": "2021-11-26",
        "status": "A",
        "authorized_official_last_name": "MAULELLA",
        "authorized_official_first_name": "JOAN",
        "authorized_official_middle_name": "MICHELE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-573-8382"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washingtonville, NY

Sources for this page

  • 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.