Organization Active NPI

Mother Hen Massage

  • Massage Therapist
  • Southold, NY
National Provider Identifier
1063233328
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
MOTHER HEN MASSAGE
Practice address
43375 North Rd Ste 4
Southold, NY 11971-5018
Phone
(516) 736-4691
NPI assigned
Oct 21, 2024
Last updated
Oct 21, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
MOTHER HEN MASSAGEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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

Authorized official

Name
Nora DifabioNPI 1639559701
Title
Owner
Phone
(516) 736-4691

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X Primary

Addresses

Primary practice location

43375 North Rd Ste 4
Southold, NY 11971-5018

Mailing address

18 Deer Ave
Middle Island, NY 11953-1509
Phone (516) 736-4691

National Provider Directory

National Provider Directory
Part of
Mother Hen Massage

Locations

43375 North Rd
Ste 4
Southold, NY 11971
Phone (516) 736-4691

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1729468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729468800000",
    "number": "1063233328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 DEER AVE",
            "city": "MIDDLE ISLAND",
            "state": "NY",
            "postal_code": "119531509",
            "telephone_number": "516-736-4691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43375 NORTH RD STE 4",
            "city": "SOUTHOLD",
            "state": "NY",
            "postal_code": "119715018",
            "telephone_number": "516-736-4691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOTHER HEN MASSAGE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MOTHER HEN MASSAGE",
        "enumeration_date": "2024-10-21",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-20",
        "status": "A",
        "authorized_official_last_name": "DIFABIO",
        "authorized_official_first_name": "NORA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-736-4691"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southold, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.