Active NPI
Georgette Massarella, LCAT
- Dance Therapist
- N.Y., NY
National Provider Identifier
1194014738
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dance Therapist
- License
- 001288
- Practice address
- 115 East 57TH St Suite 520, 5TH Floor
Dasha Wellness
N.Y., NY 10022 - Phone
- (212) 755-5500
- Fax
- (212) 755-0505
- NPI assigned
- Apr 5, 2011
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dance Therapist | 225600000X | 001288 | NY | Primary |
Addresses
Primary practice location
115 East 57TH St Suite 520, 5TH Floor
Dasha Wellness
N.Y., NY 10022
Mailing address
115 East 57TH St Suite 520, 5TH Floor
Dasha Wellness
New York, NY 10022
Phone (212) 755-5500
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 |
|---|---|---|---|
| 001288 | NY | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1301961600000",
"number": "1194014738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 EAST 57TH ST SUITE 520, 5TH FLOOR",
"address_2": "DASHA WELLNESS",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10022",
"telephone_number": "212-755-5500",
"fax_number": "212-755-0505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 EAST 57TH ST SUITE 520, 5TH FLOOR",
"address_2": "DASHA WELLNESS",
"city": "N.Y.",
"state": "NY",
"postal_code": "10022",
"telephone_number": "212-755-5500",
"fax_number": "212-755-0505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASSARELLA",
"first_name": "GEORGETTE",
"name_prefix": "Ms.",
"credential": "LCAT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-05",
"last_updated": "2011-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "225600000X",
"taxonomy_group": "",
"desc": "Dance Therapist",
"state": "NY",
"license": "001288",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in N.Y., NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.