Active NPI
Charlie Greer
- Massage Therapist
- New York, NY
National Provider Identifier
1124964689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 017899
- Practice address
- 1 W 34TH St RM 204
New York, NY 10001-3011 - Phone
- (212) 600-4808
- NPI assigned
- Apr 27, 2026
- Sex
- Male
- Sole proprietor
- Yes
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 | 017899 | NY | Primary |
Addresses
Primary practice location
1 W 34TH St RM 204
New York, NY 10001-3011
Mailing address
216 Windsor PL
Brooklyn, NY 11215-5918
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://dashboard.boulevard.io/clients | Health Information Exchange (HIE) |
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 |
|---|---|---|---|
| 017899 | NY | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Zen Body Mechanics LLC | Massage Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Massage Therapist
- New York, NY
- NPI 1457715088
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1777248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777248000000",
"number": "1124964689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "216 WINDSOR PL",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112155918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 W 34TH ST RM 204",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100013011",
"telephone_number": "212-600-4808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREER",
"first_name": "CHARLIE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-04-27",
"last_updated": "2026-04-27",
"certification_date": "2026-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NY",
"license": "017899",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://dashboard.boulevard.io/clients",
"affiliation": "N",
"endpointDescription": "Boulevard Datebase",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1 W 34th St Rm 204",
"city": "New York",
"state": "NY",
"country_code": "US",
"postal_code": "100013011",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.