Alissa Dandrilli Laterza, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

021091-1 Issued in NY

Practice address

34 Ocean Ave
Islip, NY 11751-3804

Phone

(631) 871-7938

NPI assigned

Jun 26, 2007

Last updated

Dec 30, 2020By the provider in NPPES

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

Other identifiers 1

Other names 1

• Alissa Dandrilli Former name

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Juniper House, Incorporated

  • Massage Therapist
  • Islip, NY
  • NPI 1023605466
  NPD Authorized official

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609286400000",
    "number": "1316143209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 OCEAN AVE",
            "city": "ISLIP",
            "state": "NY",
            "postal_code": "117513804",
            "telephone_number": "631-871-7938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 OCEAN AVE",
            "city": "ISLIP",
            "state": "NY",
            "postal_code": "117513804",
            "telephone_number": "631-871-7938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATERZA",
        "first_name": "ALISSA",
        "middle_name": "DANDRILLI",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-26",
        "last_updated": "2020-12-30",
        "certification_date": "2020-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "021091-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHCARE PROVIDERS SERVICE ORGANIZATION",
            "identifier": "0273137506-8",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALISSA",
            "last_name": "DANDRILLI",
            "credential": "LMT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Samantha Marie Labella, MS CCC-SLP
• Sarabjit Singh Lalri, MD
• Lance Berlin DPM PC
• Gina M. Lang, M.A.
• Nicole Lanser
• Franklin Nicholas Laviola, MD
• Samira Le Benz
• Brea Ledbetter, SPECIAL EDUCATION
• Juan Sebastian Lema
• Elizabeth M Leonard, OTR/L

• Massage Therapist in Islip, NY
• Providers in Islip, 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 30, 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.