Tiffany A Siaca

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

030708-01 Issued in NY

Practice address

935 N Broadway
N Massapequa, NY 11758-2308

Phone

(516) 707-5915

NPI assigned

May 27, 2022

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.

• Healing Hearts Holistic Wellness, Inc

  • Massage Therapist
  • N Massapequa, NY
  • NPI 1801488630
  NPD

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

{
    "created_epoch": "1653609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653609600000",
    "number": "1003555103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 N BROADWAY",
            "city": "N MASSAPEQUA",
            "state": "NY",
            "postal_code": "117582308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 N BROADWAY",
            "city": "N MASSAPEQUA",
            "state": "NY",
            "postal_code": "117582308",
            "telephone_number": "516-707-5915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIACA",
        "first_name": "TIFFANY",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-27",
        "last_updated": "2022-05-27",
        "certification_date": "2022-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "030708-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jay Ritter, D.D.S
• Marissa C Roberts, MS, CCC-SLP
• Christina A Roesch, LPN,EMT
• Sherrie Glasser Physical Therapist John Douglas Physical Therapist Ass
• Sherrie Glasser Physical Therapist John Douglas Pta
• Silver Secrets
• Linda Silvestro, LMT
• Khalida Khan Stutman, D.D.S
• Jennifer Ann Szczepanski
• Michele Tardalo, M.S. SLP-CF, TSSLD

• Massage Therapist in N Massapequa, NY
• Providers in N Massapequa, 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 May 27, 2022; 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.