Melanie Wagman, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

026047-1 Issued in NY

Practice address

252 E Park Ave
Long Beach, NY 11561-3521

Phone

(516) 431-5400

NPI assigned

Oct 30, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Body Logic Massage Therapy PLLC

  • Massage Therapist
  • Long Beach, NY
  • NPI 1922970938
  NPD Authorized official

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

{
    "created_epoch": "1446163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1851763767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "252 E PARK AVE",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115613521",
            "telephone_number": "516-431-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 E PARK AVE",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115613521",
            "telephone_number": "516-431-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGMAN",
        "first_name": "MELANIE",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-30",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "026047-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bianca Rose Vella
• Eva Maria Goni Vicente, R.N.
• Justin Vinokur
• Vista Therapeutics Inc
• Jenna Marie Vitale, M.S. ED
• Amal Wahib
• Waldbaum Inc
• Walgreen Co
• Walgreen Co
• Caitlin Wallace, BCBA

• Massage Therapist in Long Beach, NY
• Providers in Long Beach, NY by specialty
• Massage Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.