Active NPI
Michelle Vanessa Perez, LMT
- Massage Therapist
- New York, NY
National Provider Identifier
1205514080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 033079
- Practice address
- 336 W 37TH St Ste 710
New York, NY 10018-4212 - Phone
- (917) 740-2709
- NPI assigned
- Jul 10, 2023
- 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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 033079 | NY | Primary |
Addresses
Primary practice location
336 W 37TH St Ste 710
New York, NY 10018-4212
Mailing address
2030 146TH St Apt 2D
Whitestone, NY 11357-3464
Phone (347) 876-5342
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 |
|---|---|---|---|
| 033079 | NY | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1688947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688947200000",
"number": "1205514080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2030 146TH ST APT 2D",
"city": "WHITESTONE",
"state": "NY",
"postal_code": "113573464",
"telephone_number": "347-876-5342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "336 W 37TH ST STE 710",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100184212",
"telephone_number": "917-740-2709"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "MICHELLE",
"middle_name": "VANESSA",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-10",
"last_updated": "2023-07-10",
"certification_date": "2023-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NY",
"license": "033079",
"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 Jul 10, 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.