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SIMON J STILLWAGGON
NPI 1710382486
Massage Therapist in Philadelphia, PA

Active since October 23, 2014
3821 BARING ST, PHILADELPHIA, PA 19104(609) 489-2074 Get Directions Write a Review

NPPES record last updated: April 29, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Simon J Stillwaggon NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SIMON J STILLWAGGON (NPI 1710382486) is an individual massage therapist in Philadelphia, Pennsylvania, licensed in Pennsylvania (MSG015461) and active in the NPI registry since October 2014.

NPPES Registry Identity

NPI1710382486
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameSIMON J STILLWAGGON
Location Address3821 BARING STPhiladelphia, PA 19104-5580
Mailing Address3821 Baring StPhiladelphia, PA 19104-5580
Phone(609) 489-2074
Sole ProprietorNo
Enumeration DateOctober 23, 2014
Last NPPES UpdateApril 29, 2026
NPPES CertifiedApril 29, 2026
✔ NPI 1710382486 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed in PA · MSG015461
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
3821 BARING ST, Philadelphia, PA 19104
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Simon Stillwaggon's NPI number?

The NPI number for Simon Stillwaggon is 1710382486. It was assigned to this individual provider in the NPPES registry on October 23, 2014.

Where is Simon Stillwaggon located?

Simon Stillwaggon practices at 3821 Baring St, Philadelphia, PA 19104. The listed phone number is (609) 489-2074.

What is Simon Stillwaggon's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Simon Stillwaggon was last updated on April 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.