Individual provider Active NPI

Lisa Ann Lourenco, LMT

  • Massage Therapist
  • Sayville, NY
National Provider Identifier
1043007529
Registry record updated May 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
022970-01 Issued in NY
Practice address
520 Marseille Path
Sayville, NY 11782-1315
Phone
(631) 742-0818
Fax
(631) 742-0818
NPI assigned
Apr 21, 2025
Last updated
May 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 022970-01 NY Primary

Addresses

Primary practice location

520 Marseille Path
Sayville, NY 11782-1315

Mailing address

520 Marseille Path
Sayville, NY 11782-1315
Phone (631) 742-0818

Other names 1

  • Lisa Ann Pawloski Professional name

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
022970-01NYMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1745193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747699200000",
    "number": "1043007529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 MARSEILLE PATH",
            "city": "SAYVILLE",
            "state": "NY",
            "postal_code": "117821315",
            "telephone_number": "631-742-0818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 MARSEILLE PATH",
            "city": "SAYVILLE",
            "state": "NY",
            "postal_code": "117821315",
            "telephone_number": "631-742-0818",
            "fax_number": "631-742-0818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOURENCO",
        "first_name": "LISA",
        "middle_name": "ANN",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-21",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "022970-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "PAWLOSKI",
            "middle_name": "ANN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Sayville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2025; 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.