Michael Terra, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

031027 Issued in NY

Practice address

3015 33Rd St Apt 3a
Astoria, NY 11102-1413

Phone

(917) 345-2416

NPI assigned

Nov 7, 2024

Sex

Male

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

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

{
    "created_epoch": "1730937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1033932934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3015 33RD ST APT 3A",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111021413",
            "telephone_number": "917-345-2416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3015 33RD ST APT 3A",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111021413",
            "telephone_number": "917-345-2416"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 W 28th St Ste 903",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100016181",
            "country_code": "US",
            "telephone_number": "917-345-2416",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "90 Broad St Fl 2",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100043313",
            "country_code": "US",
            "telephone_number": "917-345-2416",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TERRA",
        "first_name": "MICHAEL",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-11-07",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "031027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Massage Therapist in Astoria, NY
• Providers in Astoria, 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 Nov 7, 2024; 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.