Active NPI
Giseli Vieira, L.M.T
- Massage Therapist
- Port Jeff Sta, NY
National Provider Identifier
1184175960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 023730-01
- Practice address
- 5 Parkridge Cir
Port Jeff Sta, NY 11776-3414 - Phone
- (917) 239-6677
- NPI assigned
- Oct 17, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 007333 | NY | |
| Massage Therapist | 225700000X | 023730-01 | NY | Primary |
Addresses
Primary practice location
5 Parkridge Cir
Port Jeff Sta, NY 11776-3414
Mailing address
20 Champlain St
Port Jeff Sta, NY 11776-4435
Phone (917) 239-6677
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 023730-01 | NY | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684886400000",
"number": "1184175960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 CHAMPLAIN ST",
"city": "PORT JEFF STA",
"state": "NY",
"postal_code": "117764435",
"telephone_number": "917-239-6677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 PARKRIDGE CIR",
"city": "PORT JEFF STA",
"state": "NY",
"postal_code": "117763414",
"telephone_number": "917-239-6677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VIEIRA",
"first_name": "GISELI",
"credential": "L.M.T",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-10-17",
"last_updated": "2023-05-24",
"certification_date": "2023-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NY",
"license": "007333",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NY",
"license": "023730-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Jeff Sta, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.