Organization Active NPI

Wai Pain Management Massage Therapy

  • Massage Therapist
  • Philadelphia, PA
National Provider Identifier
1750516084
Registry record updated May 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
207881 Issued in PA
Legal business name
WAI PAIN MANAGEMENT MASSAGE THERAPY
Practice address
934 Arch St
Philadelphia, PA 19107-3107
Phone
(267) 255-4039
Fax
(215) 829-0499
NPI assigned
May 15, 2009
Organization subpart
Yes
Parent organization
WAI PAIN MANAGEMENT MASSAGE THERAPYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 19, 2009

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

Authorized official

Name
Ms. Wai Mun AuNPI 1831344241
Title
Massage Therapit
Phone
(267) 255-4039

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 207881 PA Primary

Addresses

Primary practice location

934 Arch St
Philadelphia, PA 19107-3107

Mailing address

1231 Chestnut St # 128
Philadelphia, PA 19107-4105
Phone (267) 255-4039

Other identifiers 10

IdentifierTypeStateIssuer
1750516084OtherPAKEYSTONE HEALTH PLEN EAST
1750516084OtherPAKEYSTONE MARCY
1750516084OtherPAMOUNTAIN STATE BCBS
1750516084MedicaidPA
1750516084OtherPAUNIFORM MEDICAL PLAN- HARRINGTON
1750516084OtherPAINDEPENDENCE BLUE CROSS BLUE SHIELD
1750516084OtherPAAMERIHEALTH
1750516084OtherPAAETNA
1750516084OtherPAHIGHMARK BLUE CROSS BLUE SHIELD
1750516084OtherPACIGNA

Other names 1

  • WAI pain management massage therapy Other name

National Provider Directory

National Provider Directory

Locations

1231 Chestnut St
#128
Philadelphia, PA 19107
Phone (267) 255-4039

934 Arch St
Philadelphia, PA 19107
Phone (267) 255-4039

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": "1242345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242691200000",
    "number": "1750516084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1231 CHESTNUT ST # 128",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074105",
            "telephone_number": "267-255-4039",
            "fax_number": "215-829-0499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "934 ARCH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191073107",
            "telephone_number": "267-255-4039",
            "fax_number": "215-829-0499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAI PAIN MANAGEMENT MASSAGE THERAPY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WAI PAIN MANAGEMENT MASSAGE THERAPY",
        "enumeration_date": "2009-05-15",
        "last_updated": "2009-05-19",
        "status": "A",
        "authorized_official_last_name": "AU",
        "authorized_official_first_name": "WAI",
        "authorized_official_middle_name": "MUN",
        "authorized_official_title_or_position": "MASSAGE THERAPIT",
        "authorized_official_telephone_number": "267-255-4039",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "PA",
            "license": "207881",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE HEALTH PLEN EAST",
            "identifier": "1750516084",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE MARCY",
            "identifier": "1750516084",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOUNTAIN STATE BCBS",
            "identifier": "1750516084",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1750516084",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIFORM  MEDICAL  PLAN- HARRINGTON",
            "identifier": "1750516084",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BLUE CROSS BLUE SHIELD",
            "identifier": "1750516084",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "1750516084",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "1750516084",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE CROSS BLUE SHIELD",
            "identifier": "1750516084",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1750516084",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WAI pain management massage therapy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2009; 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.