Molly Sara Peck, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

031538 Issued in NY

Practice address

41 John St
Babylon, NY 11702-2932

Phone

(631) 321-1900

NPI assigned

Oct 14, 2020

Sex

Female

Sole proprietor

No

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Functional Massage & Performance

  • Massage Therapist
  • West Babylon, NY
  • NPI 1447985387
  NPD Authorized official

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

{
    "created_epoch": "1602633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603065600000",
    "number": "1225636954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 JOHN ST",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "117022932",
            "telephone_number": "631-321-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 JOHN ST",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "117022932",
            "telephone_number": "631-321-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PECK",
        "first_name": "MOLLY",
        "middle_name": "SARA",
        "name_prefix": "Ms.",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-14",
        "last_updated": "2020-10-19",
        "certification_date": "2020-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "031538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maureen Brady Pantaleo, B.A.P.T.
• Alissa Pantorno
• Margo Papuzinska, DDS
• Lisa Parker, M.S ED
• Paul Arena PT PC
• Pedro H. Calves, M.D. P.C.
• Yadira Pena, PA-C
• Brian Christopher Penta
• Alice Mary Peplinski, MS
• Robert Perdue, P.A.

• Massage Therapist in Babylon, NY
• Providers in Babylon, 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 19, 2020; 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.