Yvonne Montalvo

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

014523-01 Issued in NY

Practice address

6278 Route 25a Ste 4
Wading River, NY 11792-2009

Phone

(631) 886-1500

NPI assigned

Oct 28, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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.

• North Fork Medical PLLC

  • Emergency Medicine Physician
  • Wading River, NY
  • NPI 1528777810
  NPD
• Rutman Medical PLLC

  • Sports Medicine (Emergency Medicine) Physician
  • Miller Place, NY
  • NPI 1265090674
  NPD (past)

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

{
    "created_epoch": "1666915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666915200000",
    "number": "1033826169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 NATURES LN",
            "city": "MILLER PLACE",
            "state": "NY",
            "postal_code": "117643137",
            "telephone_number": "917-207-2684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6278 ROUTE 25A STE 4",
            "city": "WADING RIVER",
            "state": "NY",
            "postal_code": "117922009",
            "telephone_number": "631-886-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTALVO",
        "first_name": "YVONNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-28",
        "last_updated": "2022-10-28",
        "certification_date": "2022-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "014523-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "inividual",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "148 Natures Ln",
            "city": "Miller Place",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117643137",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Katora Miller
• Roshanna Miller
• Taryn E Miller, LCSW
• Corinne Milmoe
• Ross John Mishkin, LMHC, M.S.ED.
• Debra Jean Moreno, RN
• Robert Andrew Morton, DPM
• Katherine Muller, SLP
• Meaghan D Murphy, LPN
• Timothy Stephen Murray, P.T.

• Massage Therapist in Wading River, NY
• Providers in Wading River, 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 Oct 28, 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.