Individual provider Active NPI

Nestor Luis Cora, LMT

  • Massage Therapist
  • Jericho, NY
National Provider Identifier
1134767932
Registry record updated Dec 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
013014 Issued in NY
Practice address
99 Jericho Tpke
Jericho, NY 11753-1073
Phone
(347) 246-3246
NPI assigned
Dec 12, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 013014 NY Primary

Addresses

Primary practice location

99 Jericho Tpke
Jericho, NY 11753-1073

Mailing address

99 Jericho Tpke
Jericho, NY 11753-1073
Phone (347) 246-3246

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1576108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576108800000",
    "number": "1134767932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 JERICHO TPKE",
            "city": "JERICHO",
            "state": "NY",
            "postal_code": "117531073",
            "telephone_number": "347-246-3246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 JERICHO TPKE",
            "city": "JERICHO",
            "state": "NY",
            "postal_code": "117531073",
            "telephone_number": "347-246-3246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORA",
        "first_name": "NESTOR",
        "middle_name": "LUIS",
        "name_prefix": "Mr.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-12-12",
        "last_updated": "2019-12-12",
        "certification_date": "2019-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "013014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jericho, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.