Johanna Guerrero-Dejesus, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

028463 Issued in NY

Practice address

1726 Veterans Memorial Hwy
Islandia, NY 11749-1512

Phone

(631) 600-7878

NPI assigned

Dec 1, 2022

Sex

Female

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": "1669852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669852800000",
    "number": "1255041125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 HIGBIE LN",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117951609",
            "telephone_number": "631-568-1210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1726 VETERANS MEMORIAL HWY",
            "city": "ISLANDIA",
            "state": "NY",
            "postal_code": "117491512",
            "telephone_number": "631-600-7878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERRERO-DEJESUS",
        "first_name": "JOHANNA",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-01",
        "last_updated": "2022-12-01",
        "certification_date": "2022-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "028463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lani Graham, NP
• Howard C Green, DC
• Ruth G Green, PH.D.
• Kereen S Gregory, LPN
• Diana Guaraca
• Scott Guthart
• Gutkovich Enterprises, Inc
• Dmitry Gutkovich, OD
• Nicole Elizabeth Halford, BCBA
• Emily Handley, OTR/L

• Massage Therapist in Islandia, NY
• Providers in Islandia, 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 Dec 1, 2022; 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.