Active NPI
Andrew Kressel, LMT
- Massage Therapist
- Babylon, NY
National Provider Identifier
1033719349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 013165
- Practice address
- 11 W Main St
Babylon, NY 11702-3408 - Phone
- (631) 620-3535
- NPI assigned
- Oct 27, 2020
- Sex
- Male
- 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 | 013165 | NY | Primary |
Addresses
Primary practice location
11 W Main St
Babylon, NY 11702-3408
Mailing address
PO Box 444
East Northport, NY 11731-0444
Other practice location 1
609 6th Ave W
East Northport, NY 11731-2202
Phone (631) 543-2444
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 |
|---|---|---|---|
| 013165 | NY | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603756800000",
"number": "1033719349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 444",
"city": "EAST NORTHPORT",
"state": "NY",
"postal_code": "117310444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 W MAIN ST",
"city": "BABYLON",
"state": "NY",
"postal_code": "117023408",
"telephone_number": "631-620-3535"
}
],
"practiceLocations": [
{
"address_1": "609 6th Ave W",
"address_purpose": "LOCATION",
"city": "East Northport",
"state": "NY",
"postal_code": "117312202",
"country_code": "US",
"telephone_number": "631-543-2444",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KRESSEL",
"first_name": "ANDREW",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-10-27",
"last_updated": "2020-10-27",
"certification_date": "2020-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NY",
"license": "013165",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Babylon, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.