Individual provider Active NPI

Victoria Angela Liotta, DAC, LAC, LMT

  • Acupuncturist
  • Huntington, NY
National Provider Identifier
1093103749
Registry record updated Jun 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
005103 Issued in NY
Practice address
11 Stewart Ave
Huntington, NY 11743-2738
Phone
(631) 421-1848
NPI assigned
Jan 5, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 020509 NY
Acupuncturist 171100000X 005103 NY Primary

Addresses

Primary practice location

11 Stewart Ave
Huntington, NY 11743-2738

Mailing address

3 Hazelwood PL
Huntington, NY 11743-4273
Phone (516) 353-2341

Other practice location 1

3 Hazelwood Place
Huntington, NY 11743
Phone (516) 353-2341

Other practice location 2

1239 N Country Rd
Suite 3D
Stony Brook, NY 11790-1934
Phone (631) 601-6491

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
020509NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Vibrant Light Acupuncture & Massage, P.C. Acupuncturist PastSince Apr 21, 2024 Accepting new patients

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": "1420416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559779200000",
    "number": "1093103749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 HAZELWOOD PL",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117434273",
            "telephone_number": "516-353-2341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 STEWART AVE",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117432738",
            "telephone_number": "631-421-1848"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3 Hazelwood Place",
            "address_purpose": "LOCATION",
            "city": "Huntington",
            "state": "NY",
            "postal_code": "11743",
            "country_code": "US",
            "telephone_number": "516-353-2341",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1239 N Country Rd",
            "address_2": "Suite 3D",
            "address_purpose": "LOCATION",
            "city": "Stony Brook",
            "state": "NY",
            "postal_code": "117901934",
            "country_code": "US",
            "telephone_number": "631-601-6491",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIOTTA",
        "first_name": "VICTORIA",
        "middle_name": "ANGELA",
        "name_prefix": "Dr.",
        "credential": "DAC, LAC,  LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-05",
        "last_updated": "2019-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "020509",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "005103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.