Organization Active NPI

Knots & Bolts Therapy PLLC

  • Acupuncturist
  • New York, NY
National Provider Identifier
1285135442
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
004557 Issued in NY
Legal business name
KNOTS & BOLTS THERAPY PLLC
Practice address
415 W 57TH St Apt B
New York, NY 10019-1753
Phone
(917) 599-2179
NPI assigned
Feb 23, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Susan Hofmann-Levin, L.AC, LMTNPI 1043519754
Title
Owner
Phone
(631) 240-4196

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X 004557 NY Primary
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X 019417 NY

Addresses

Primary practice location

415 W 57TH St Apt B
New York, NY 10019-1753

Mailing address

6911 Yellowstone Blvd Apt B32
Forest Hills, NY 11375-3789

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1519344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707264000000",
    "number": "1285135442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6911 YELLOWSTONE BLVD APT B32",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113753789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 W 57TH ST APT B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100191753",
            "telephone_number": "917-599-2179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNOTS & BOLTS THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-23",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A",
        "authorized_official_last_name": "HOFMANN-LEVIN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-240-4196",
        "authorized_official_credential": "L.AC, LMT"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "004557",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "019417",
            "primary": false
        }
    ],
    "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 Feb 7, 2024; 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.