Individual provider Active NPI

Stacie D. Powroznik, LMT

  • Massage Therapist
  • Ephrata, PA
National Provider Identifier
1902563513
Registry record updated Nov 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Practice address
918 N Reading Rd
Ephrata, PA 17522-9794
Phone
(717) 335-2338
NPI assigned
Nov 18, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X Primary

Addresses

Primary practice location

918 N Reading Rd
Ephrata, PA 17522-9794

Mailing address

2252 N Penryn Rd
Manheim, PA 17545-8736

Other identifiers 1

IdentifierTypeStateIssuer
MSG014410OtherPAMASSAGE THERAPY LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Circle of Life Massage & Wellness Center, LLC Massage Therapist CurrentSince Nov 21, 2021 Accepting new patients

Locations

918 N Reading Rd
Ephrata, PA 17522
Phone (717) 335-2338

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1637193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637193600000",
    "number": "1902563513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2252 N PENRYN RD",
            "city": "MANHEIM",
            "state": "PA",
            "postal_code": "175458736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "918 N READING RD",
            "city": "EPHRATA",
            "state": "PA",
            "postal_code": "175229794",
            "telephone_number": "717-335-2338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWROZNIK",
        "first_name": "STACIE",
        "middle_name": "D.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-18",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSAGE THERAPY LICENSE",
            "identifier": "MSG014410",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ephrata, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.