Benjamin Ciccarone, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MSG015213 Issued in PA

Practice address

2738 W College Ave Ste A175
State College, PA 16801-2646

Phone

(814) 321-1921

NPI assigned

Oct 9, 2023

Sex

Male

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.

• Wellness Way Massage LLC

  • Massage Therapist
  • State College, PA
  • NPI 1487424933
  NPD Authorized official

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

{
    "created_epoch": "1696809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696809600000",
    "number": "1992586887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2738 W COLLEGE AVE STE A175",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168012646",
            "telephone_number": "814-321-1921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2738 W COLLEGE AVE STE A175",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168012646",
            "telephone_number": "814-321-1921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CICCARONE",
        "first_name": "BENJAMIN",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-10-09",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "PA",
            "license": "MSG015213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jade Chu, PT
• Caitlin Chun-Kennedy, PH.D.
• Lindsey R Chura, DPT
• Bridget Asher Ciampoli, CRNA
• Joseph Vincent Ciampoli, CRNA
• Colleen M. Cingle, MS, PT
• Claire Van Ogtrop Psychotherapy, LLC
• Dennis J Clark, PA-C
• Jessica Lee Clarke, PA-C
• Lawrence T. Clayton, PH.D.

• Massage Therapist in State College, PA
• Providers in State College, PA by specialty
• Massage Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2023; 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.