Active NPI
Jennifer Dalaguerre, LMT
- Massage Therapist
- New City, NY
National Provider Identifier
1104632389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 032272-01
- Practice address
- 17 Squadron Blvd Ste 100
New City, NY 10956-5274 - Phone
- (845) 250-8020
- NPI assigned
- Dec 3, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 032272-01 | NY | Primary |
Addresses
Primary practice location
17 Squadron Blvd Ste 100
New City, NY 10956-5274
Mailing address
20 Crescent Dr
Spring Valley, NY 10977-2320
Phone (845) 729-4576
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
| License | State | Type | Specialty |
|---|---|---|---|
| 032272-01 | NY | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733184000000",
"number": "1104632389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 CRESCENT DR",
"city": "SPRING VALLEY",
"state": "NY",
"postal_code": "109772320",
"telephone_number": "845-729-4576"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 SQUADRON BLVD STE 100",
"city": "NEW CITY",
"state": "NY",
"postal_code": "109565274",
"telephone_number": "845-250-8020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DALAGUERRE",
"first_name": "JENNIFER",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-12-03",
"last_updated": "2024-12-03",
"certification_date": "2024-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NY",
"license": "032272-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.