Individual provider Active NPI

Yarmila Kocisova, LMT

  • Massage Therapist
  • Islip, NY
National Provider Identifier
1144473687
Registry record updated Oct 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
014747 Issued in NY
Practice address
225A Main St
Islip, NY 11751-3410
Phone
(631) 277-4776
Fax
(631) 277-4776
NPI assigned
Oct 28, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2008

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 014747 NY Primary

Addresses

Primary practice location

225A Main St
Islip, NY 11751-3410

Mailing address

53 Avery Ave
Patchogue, NY 11772-2901
Phone (631) 447-1094

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": "1225152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225152000000",
    "number": "1144473687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 AVERY AVE",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117722901",
            "telephone_number": "631-447-1094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225A MAIN ST",
            "city": "ISLIP",
            "state": "NY",
            "postal_code": "117513410",
            "telephone_number": "631-277-4776",
            "fax_number": "631-277-4776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCISOVA",
        "first_name": "YARMILA",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-28",
        "last_updated": "2008-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "014747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Islip, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2008; 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.