Mihee Song

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

29844 Issued in NY

Practice address

392 N Wantagh Ave
Bethpage, NY 11714-4100

Phone

(631) 949-4811

NPI assigned

Aug 4, 2025

Last updated

Aug 4, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• JSM Wellness NP in Acute Care P.C.

  • Acute Care Nurse Practitioner
  • Stony Brook, NY
  • NPI 1255137592
  NPD
• Pure Body Therapeutic Acupuncture and Massage Therapy PC

  • Acupuncturist
  • Bethpage, NY
  • NPI 1972489961

  Massage Therapist

  NPD

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

{
    "created_epoch": "1754265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754265600000",
    "number": "1164306072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 HALLOCK RD STE 6A",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117903077",
            "telephone_number": "917-563-1824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "392 N WANTAGH AVE",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117144100",
            "telephone_number": "631-949-4811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONG",
        "first_name": "MIHEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-04",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "29844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mahesh Nuwan Kumara Sirisena
• Sitron-Hammel Radiology Group P.C.
• Alan P Sitron, M.D.
• Ruben Smith, MD
• Kim A Smolen
• Salvatore Victor Spadaro, MD
• Theodora Irene Spanos
• Speech Time Inc.
• Spencer F. Dubov, D.P.M., P.C.
• Judy Spinner, L.M.T.

• Massage Therapist in Bethpage, NY
• Providers in Bethpage, NY by specialty
• Massage Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2025; 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.