Active NPI
Dara B Warshaw, LMT
- Massage Therapist
- West Islip, NY
National Provider Identifier
1013227578
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 019263
- Practice address
- 300 Willetts LN
West Islip, NY 11795-4619 - Phone
- (516) 729-2621
- NPI assigned
- Oct 18, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 019263 | NY | Primary |
Addresses
Primary practice location
300 Willetts LN
West Islip, NY 11795-4619
Mailing address
13 Linda LN
North Babylon, NY 11703-1009
Phone (516) 729-2621
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019263 | NY | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287360000000",
"number": "1013227578",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13 LINDA LN",
"city": "NORTH BABYLON",
"state": "NY",
"postal_code": "117031009",
"telephone_number": "516-729-2621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 WILLETTS LN",
"city": "WEST ISLIP",
"state": "NY",
"postal_code": "117954619",
"telephone_number": "516-729-2621"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARSHAW",
"first_name": "DARA",
"middle_name": "B",
"name_prefix": "Mrs.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-10-18",
"last_updated": "2010-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NY",
"license": "019263",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Islip, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.