Tori Ponder-Brown, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

031154 Issued in NY

Practice address

1201 N Tioga St
Ithaca, NY 14850-3683

Phone

(607) 330-0957

NPI assigned

May 24, 2021

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

Electronic endpoints 1

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": "1621814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1245805001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 N TIOGA ST",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148503683",
            "telephone_number": "607-330-0957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 N TIOGA ST",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148503683",
            "telephone_number": "607-330-0957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PONDER-BROWN",
        "first_name": "TORI",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-24",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "031154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "16072804916@vzwpix.com",
            "affiliation": "N",
            "endpointDescription": "pMD  pmd.com/",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Secure Messaging",
            "address_1": "1201 N Tioga St",
            "city": "Ithaca",
            "state": "NY",
            "country_code": "US",
            "postal_code": "148503683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Podiatry Services of Ithaca P.C.
• Margo Lane Polikoff, R.N.
• Roman Gabriel Politi, MD
• Rachele A. Pollack, LCSW-R, CASAC
• Gabrielle Pompo
• Amelia Ann Poplawski, PA-C
• Cynthia MP Porter, P.A.
• Sarah Jane Post, LCSW
• Lauren Danielle Potter, DPT
• Hannah Lucille Potts, NP

• Massage Therapist in Ithaca, NY
• Providers in Ithaca, 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 May 24, 2021; 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.