Susan Boyer, L.M.T.

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

27021415 Issued in NY

Practice address

328 Broadway
Bethpage, NY 11714-3007

Phone

(516) 822-5433

NPI assigned

Jan 26, 2009

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

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.

• Massage for Living

  • Massage Therapist
  • Bethpage, NY
  • NPI 1760635098
  NPD (past)

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

{
    "created_epoch": "1232928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232928000000",
    "number": "1295973592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "543 OAKDALE RD",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115545228",
            "telephone_number": "516-512-1083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 BROADWAY",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117143007",
            "telephone_number": "516-822-5433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYER",
        "first_name": "SUSAN",
        "credential": "L.M.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-26",
        "last_updated": "2009-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "27021415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charlotte Ellen Grace Bodack
• Jessica Bonheur, MD
• Anne D Bonura, M.A. EDUCATION
• Danielle Borger, MD
• Linda Marie Bowman, PTA
• Anthony Bracco, MSN, FNP-BC
• Frances A. Brady, NP
• Bridge Back to Life Center, Inc.
• Bridge Back to Life Center, Inc.
• Bridge Back to Life Inc

• Massage Therapist in Bethpage, NY
• Providers in Bethpage, 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 Jan 26, 2009; 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.