Individual provider Active NPI

Theresa Kathleen Gesswein-Jusino, LMT

  • Massage Therapist
  • West Babylon, NY
National Provider Identifier
1174861660
Registry record updated Jan 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
026272 Issued in NY
Practice address
1217 12TH St
West Babylon, NY 11704-3628
Phone
(516) 639-5719
NPI assigned
Jan 18, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2013

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 026272 NY Primary

Addresses

Primary practice location

1217 12TH St
West Babylon, NY 11704-3628

Mailing address

1217 12TH St
West Babylon, NY 11704-3628
Phone (516) 639-5719

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": "1358467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358467200000",
    "number": "1174861660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1217 12TH ST",
            "city": "WEST BABYLON",
            "state": "NY",
            "postal_code": "117043628",
            "telephone_number": "516-639-5719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1217 12TH ST",
            "city": "WEST BABYLON",
            "state": "NY",
            "postal_code": "117043628",
            "telephone_number": "516-639-5719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GESSWEIN-JUSINO",
        "first_name": "THERESA",
        "middle_name": "KATHLEEN",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-18",
        "last_updated": "2013-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "026272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Babylon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2013; 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.