Active NPI
Irta Massage
- Massage Therapist
- Hauppauge, NY
National Provider Identifier
1093516809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- Legal business name
- IRTA MASSAGE
- Practice address
- 1363 Veterans Hwy
Hauppauge, NY 11788-3046 - Phone
- (631) 882-2517
- NPI assigned
- Mar 19, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Irta Massage, LMT
- Title
- Owner
- Phone
- (631) 882-2517
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | Primary |
Addresses
Primary practice location
1363 Veterans Hwy
Hauppauge, NY 11788-3046
Mailing address
106 W 5TH St
Ronkonkoma, NY 11779-3843
National Provider Directory
National Provider DirectoryPractitioners & 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": "1742342400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1742342400000",
"number": "1093516809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 W 5TH ST",
"city": "RONKONKOMA",
"state": "NY",
"postal_code": "117793843"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1363 VETERANS HWY",
"city": "HAUPPAUGE",
"state": "NY",
"postal_code": "117883046",
"telephone_number": "631-882-2517"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IRTA MASSAGE",
"organizational_subpart": "NO",
"enumeration_date": "2025-03-19",
"last_updated": "2025-03-19",
"certification_date": "2025-03-19",
"status": "A",
"authorized_official_last_name": "MASSAGE",
"authorized_official_first_name": "IRTA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "631-882-2517",
"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 Hauppauge, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.