Active NPI
Indira Vanessa Cruz Rivera, LMT
- Massage Therapist
- New York, NY
National Provider Identifier
1174840128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 022829
- Practice address
- 211 E 43Rd St
New York, NY 10017-4707 - Phone
- (718) 669-8428
- NPI assigned
- Apr 30, 2010
- Sex
- Female
- 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 | 022829 | NY | Primary |
Addresses
Primary practice location
211 E 43Rd St
New York, NY 10017-4707
Mailing address
21737 Corbett Rd
Bayside, NY 11361-2240
Phone (718) 669-8428
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": "1272585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1272585600000",
"number": "1174840128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21737 CORBETT RD",
"city": "BAYSIDE",
"state": "NY",
"postal_code": "113612240",
"telephone_number": "718-669-8428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 E 43RD ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100174707",
"telephone_number": "718-669-8428"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUZ RIVERA",
"first_name": "INDIRA",
"middle_name": "VANESSA",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-04-30",
"last_updated": "2010-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NY",
"license": "022829",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 30, 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.