Individual provider Active NPI

Tatiana Saint-Dic

  • Massage Therapist
  • Long Beach, NY
National Provider Identifier
1043014756
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
03327801 Issued in NY
Practice address
252 E Park Ave
Long Beach, NY 11561-3521
Phone
(516) 431-5400
NPI assigned
Apr 2, 2025
Sex
Unspecified or another gender identity
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 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 03327801 NY Primary

Addresses

Primary practice location

252 E Park Ave
Long Beach, NY 11561-3521

Mailing address

20 Lois LN
Farmingdale, NY 11735-6008

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
03327801NYMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Body Logic Massage Therapy PLLC Massage Therapist CurrentSince Sep 21, 2025 Accepting new patients

Locations

252 E Park Ave
Long Beach, NY 11561
Phone (516) 431-5400

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": "1743552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743552000000",
    "number": "1043014756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 LOIS LN",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117356008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 E PARK AVE",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115613521",
            "telephone_number": "516-431-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAINT-DIC",
        "first_name": "TATIANA",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2025-04-02",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "03327801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.