Organization Active NPI

MWG Massage Therapies PC

  • Massage Therapist
  • Bay Shore, NY
National Provider Identifier
1073162210
Registry record updated Sep 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
MWG MASSAGE THERAPIES PC
Practice address
41 Saxon Ave Ste a
Bay Shore, NY 11706-7009
Phone
(631) 707-4554
NPI assigned
Sep 10, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2019

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

Authorized official

Name
Mr. Mark W Graf, LMTNPI 1134593452
Title
Owner
Phone
(631) 707-4554

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

41 Saxon Ave Ste a
Bay Shore, NY 11706-7009

Mailing address

41 Saxon Ave Ste a
Bay Shore, NY 11706-7009
Phone (631) 707-4554

National Provider Directory

National Provider Directory

Locations

41 Saxon Ave
Ste A
Bay Shore, NY 11706
Phone (631) 707-4554

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1568073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568073600000",
    "number": "1073162210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 SAXON AVE STE A",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117067009",
            "telephone_number": "631-707-4554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 SAXON AVE STE A",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117067009",
            "telephone_number": "631-707-4554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MWG MASSAGE THERAPIES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-10",
        "last_updated": "2019-09-10",
        "status": "A",
        "authorized_official_last_name": "GRAF",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-707-4554",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay Shore, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2019; 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.