Active NPI
Dave Oldenhage Massage & Bodywork, Inc.
- Massage Therapist
- New City, NY
National Provider Identifier
1124359245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 022500
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 022500 | Other | NY | NEW YORK STATE MASSAGE THERAPY LICENSE |
| 6738738 | Other | NY | NEW YORK STATE EDUCATION DEPARTMENT REGISTRATION CERTIFICATE |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Specialist
- New City, NY
- NPI 1821226945
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.