Organization Active NPI

Path of Wellness Massage Therapy

  • Massage Therapist
  • Kings Park, NY
National Provider Identifier
1114584422
Registry record updated May 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
PATH OF WELLNESS MASSAGE THERAPY
Practice address
121 Pulaski Rd
Kings Park, NY 11754-2539
Phone
(631) 455-9347
NPI assigned
May 22, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2019

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

Authorized official

Name
Mrs. Kristin Bamonte, LMTNPI 1477898856
Title
Owner
Phone
(631) 455-9347

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: 193200000X MULTI-SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

121 Pulaski Rd
Kings Park, NY 11754-2539

Mailing address

121 Pulaski Rd
Kings Park, NY 11754-2539
Phone (631) 455-9347

National Provider Directory

National Provider Directory

Locations

121 Pulaski Rd
Kings Park, NY 11754
Phone (631) 269-1148

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": "1558483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558483200000",
    "number": "1114584422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 PULASKI RD",
            "city": "KINGS PARK",
            "state": "NY",
            "postal_code": "117542539",
            "telephone_number": "631-455-9347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 PULASKI RD",
            "city": "KINGS PARK",
            "state": "NY",
            "postal_code": "117542539",
            "telephone_number": "631-455-9347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATH OF WELLNESS MASSAGE THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-22",
        "last_updated": "2019-05-22",
        "status": "A",
        "authorized_official_last_name": "BAMONTE",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-455-9347",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kings Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.