Melissa Scudder, L.M.T

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

025467 Issued in NY

Practice address

361 Broadway
Bethpage, NY 11714-3008

Phone

(516) 974-7128

NPI assigned

Jan 25, 2012

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1327449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696291200000",
    "number": "1184995995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 PARK AVE",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117433752",
            "telephone_number": "516-974-7128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "361 BROADWAY",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117143008",
            "telephone_number": "516-974-7128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCUDDER",
        "first_name": "MELISSA",
        "credential": "L.M.T",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-01-25",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "025467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sukhjeet Sangha
• Edris Sanzar
• Erica Savello
• Christopher Savrides, DO
• Rose Scammell, SLP
• Christine Mary Scully
• Alfredo Alonso Sedano, LPN
• Jessica Evelyn Sedano, RN
• Maurice Donovan Selby, MD
• Marlena Jamie Seminario

• 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 Oct 3, 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.

Verify at the official NPI Registry.