Marisa Chadbourne, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

021161 Issued in NY

Practice address

124 Main Street
Sayville, NY 11782-2952

Phone

(631) 403-6013

NPI assigned

Dec 3, 2014

Sex

Female

Sole proprietor

Yes

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.

• Touch of Health Ny Massage P.C.

  • Massage Therapist
  • Sayville, NY
  • NPI 1437556669
  NPD Authorized official

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

{
    "created_epoch": "1417564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687996800000",
    "number": "1003213232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 53",
            "city": "SAYVILLE",
            "state": "NY",
            "postal_code": "117820053",
            "telephone_number": "631-403-6013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 MAIN STREET",
            "city": "SAYVILLE",
            "state": "NY",
            "postal_code": "117822952",
            "telephone_number": "631-403-6013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHADBOURNE",
        "first_name": "MARISA",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-03",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "021161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gail Carter, LCSW
• Robert Campbell Carter, RN
• Ceo Acupuncture and Massage Therapy P.C.
• Kate Cesarski
• Regina V. Cestari, SLP
• Jessica Lyn Chiusano
• Christine M Gizoni DC PC
• Christopher Probeyahn LCSW PLLC
• City Medical of Upper East Side, PLLC
• Hanna Clair, LMSW

• Massage Therapist in Sayville, NY
• Providers in Sayville, 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 Jun 29, 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.