Moontide Massage & Wellness LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

MOONTIDE MASSAGE & WELLNESS LLC

Doing business as

Moontide Massage & Wellness LLC

Practice address

1550 Falmouth Rd Ste 4C
Centerville, MA 02632-2938

Phone

(508) 776-1305

Fax

(508) 365-6449

NPI assigned

Feb 25, 2025

Last updated

Feb 25, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Norma Norcross, RN, LMTNPI 1124422118

Title

Owner

Phone

(774) 836-0985

Specialties & licenses 2

Addresses

Other names 1

• Moontide Massage & Wellness LLC Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Norma Norcross, RN, LMT

  • Massage Therapist
  • Centerville, MA
  • NPI 1124422118
  NPD Authorized official
• Molly Myriah Nelson

  • Massage Therapist
  • Centerville, MA
  • NPI 1881546117
  NPD (past)

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

{
    "created_epoch": "1740441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740441600000",
    "number": "1770380107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 FALMOUTH RD STE 4C",
            "city": "CENTERVILLE",
            "state": "MA",
            "postal_code": "026322938",
            "telephone_number": "508-776-1305",
            "fax_number": "508-365-6449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 FALMOUTH RD STE 4C",
            "city": "CENTERVILLE",
            "state": "MA",
            "postal_code": "026322938",
            "telephone_number": "508-776-1305",
            "fax_number": "508-365-6449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOONTIDE MASSAGE & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-25",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A",
        "authorized_official_last_name": "NORCROSS",
        "authorized_official_first_name": "NORMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "774-836-0985",
        "authorized_official_credential": "RN, LMT"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Moontide Massage & Wellness LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Caitlin K McConnell, B.S.
• Bryanna Leigh Medeiros, FNP-BC
• Matthew John Melia
• MHWC LLC
• Mobilehealth Wound Care LLC
• Emily Moore, LICSW
• Hannah Morris
• Ingrid Muzy Murray, MSW
• Thomas V Nastasia
• Kelly Ann Neal-Cantwell

• Massage Therapist in Centerville, MA
• Providers in Centerville, MA by specialty
• Massage Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2025; 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.