Active NPI
Massage for Optimal Health, P.C.
- Massage Therapist
- Patchogue, NY
National Provider Identifier
1104116359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 024734-1
- Legal business name
- MASSAGE FOR OPTIMAL HEALTH, P.C.
- Practice address
- 157 N. Ocean Ave
Patchogue, NY 11772 - Phone
- (631) 289-3067
- NPI assigned
- Apr 8, 2011
- 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
- Mr. Samuel A Greenblatt, LMT
- Title
- President
- Phone
- (631) 839-4788
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 024734-1 | NY | Primary |
Addresses
Primary practice location
157 N. Ocean Ave
Patchogue, NY 11772
Mailing address
115 Jackie CT
Patchogue, NY 11772
Phone (631) 839-4788
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302220800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1302220800000",
"number": "1104116359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 JACKIE CT",
"city": "PATCHOGUE",
"state": "NY",
"postal_code": "11772",
"telephone_number": "631-839-4788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "157 N. OCEAN AVE",
"city": "PATCHOGUE",
"state": "NY",
"postal_code": "11772",
"telephone_number": "631-289-3067"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MASSAGE FOR OPTIMAL HEALTH, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2011-04-08",
"last_updated": "2011-04-08",
"status": "A",
"authorized_official_last_name": "GREENBLATT",
"authorized_official_first_name": "SAMUEL",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "631-839-4788",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LMT"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "NY",
"license": "024734-1",
"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 Apr 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.