Organization Active NPI

Dave Oldenhage Massage & Bodywork, Inc.

  • Massage Therapist
  • New City, NY
National Provider Identifier
1124359245
Registry record updated Jan 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
022500 Issued in NY
Legal business name
DAVE OLDENHAGE MASSAGE & BODYWORK, INC.
Practice address
180 Phillips Hill Rd
Building 1
New City, NY 10956-4132
Phone
(845) 634-8822
Fax
(845) 634-8823
NPI assigned
Jan 29, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2010

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

Authorized official

Name
Dave Oldenhage, BS, LMT, NCBTMB
Title
Owner
Phone
(845) 634-8822

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X 022500 NY Primary

Addresses

Primary practice location

180 Phillips Hill Rd
Building 1
New City, NY 10956-4132

Mailing address

180 Phillips Hill Rd
Building 1
New City, NY 10956-4132
Phone (845) 634-8822

Other identifiers 2

IdentifierTypeStateIssuer
022500OtherNYNEW YORK STATE MASSAGE THERAPY LICENSE
6738738OtherNYNEW YORK STATE EDUCATION DEPARTMENT REGISTRATION CERTIFICATE

National Provider Directory

National Provider Directory

Locations

180 Phillips Hill Rd
Ste 1
New City, NY 10956
Phone (845) 634-8822

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": "1264723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264723200000",
    "number": "1124359245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 PHILLIPS HILL RD",
            "address_2": "BUILDING 1",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109564132",
            "telephone_number": "845-634-8822",
            "fax_number": "845-634-8823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 PHILLIPS HILL RD",
            "address_2": "BUILDING 1",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109564132",
            "telephone_number": "845-634-8822",
            "fax_number": "845-634-8823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVE OLDENHAGE MASSAGE & BODYWORK, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-29",
        "last_updated": "2010-01-29",
        "status": "A",
        "authorized_official_last_name": "OLDENHAGE",
        "authorized_official_first_name": "DAVE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-634-8822",
        "authorized_official_credential": "BS, LMT, NCBTMB"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "022500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW YORK STATE MASSAGE THERAPY LICENSE",
            "identifier": "022500",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW YORK STATE EDUCATION DEPARTMENT REGISTRATION CERTIFICATE",
            "identifier": "6738738",
            "state": "NY"
        }
    ],
    "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 Jan 29, 2010; 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.