Individual provider Active NPI

Ami Lin Gilbert, LMT

  • Massage Therapist
  • Patchogue, NY
National Provider Identifier
1063258010
Registry record updated Jul 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
032709-01 Issued in NY
Practice address
157 N Ocean Ave Ste 1
Patchogue, NY 11772-2016
Phone
(934) 200-7003
NPI assigned
Jul 8, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2024

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 032709-01 NY Primary

Addresses

Primary practice location

157 N Ocean Ave Ste 1
Patchogue, NY 11772-2016

Mailing address

458 Richmond Blvd Apt C
Ronkonkoma, NY 11779-3064
Phone (934) 200-7003

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
032709-01NYMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Steele Grace Wellness, LLC Massage Therapist CurrentSince Jul 28, 2024 Accepting new patients

Locations

157 N Ocean Ave
Ste 1
Patchogue, NY 11772
Phone (631) 406-9308

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": "1720396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720396800000",
    "number": "1063258010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "458 RICHMOND BLVD APT C",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117793064",
            "telephone_number": "934-200-7003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 N OCEAN AVE STE 1",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117722016",
            "telephone_number": "934-200-7003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILBERT",
        "first_name": "AMI",
        "middle_name": "LIN",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-08",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "032709-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Patchogue, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.