Individual provider Active NPI

Tammy Lynn Zerella

  • Massage Therapist
  • Wantagh, NY
National Provider Identifier
1023525409
Registry record updated Jan 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
028104-1 Issued in NY
Practice address
1400 Wantagh Ave Ste 209
Wantagh, NY 11793-2210
Phone
(516) 809-7610
NPI assigned
Jan 6, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X 028104-1 NY Primary

Addresses

Primary practice location

1400 Wantagh Ave Ste 209
Wantagh, NY 11793-2210

Mailing address

1400 Wantagh Ave Ste 209
Wantagh, NY 11793-2210
Phone (516) 809-7610

Other identifiers 1

IdentifierTypeStateIssuer
028104-1OtherNYMASSAGE

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

LicenseStateTypeSpecialty
028104-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Spine Chiropractic P.C. Single Specialty PastSince Mar 22, 2020 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1515196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515196800000",
    "number": "1023525409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 WANTAGH AVE STE 209",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117932210",
            "telephone_number": "516-809-7610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 WANTAGH AVE STE 209",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117932210",
            "telephone_number": "516-809-7610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZERELLA",
        "first_name": "TAMMY",
        "middle_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-06",
        "last_updated": "2018-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "028104-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSAGE",
            "identifier": "028104-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wantagh, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2018; 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.