Individual provider Active NPI

Christopher Jacob Molinet

  • Massage Therapist
  • Point Lookout, NY
National Provider Identifier
1316584071
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
031776 Issued in NY
Practice address
3 Lido Blvd # 1a
Point Lookout, NY 11569-3021
Phone
(516) 512-0834
NPI assigned
Dec 2, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 031776 NY Primary

Addresses

Primary practice location

3 Lido Blvd # 1a
Point Lookout, NY 11569-3021

Mailing address

3 Lido Blvd Apt 1a
Point Lookout, NY 11569-3021
Phone (516) 512-0834

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
031776NYMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Myofascial Movement and Massage Inc Massage Therapist CurrentSince Jan 14, 2024 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1575244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704931200000",
    "number": "1316584071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 LIDO BLVD APT 1A",
            "city": "POINT LOOKOUT",
            "state": "NY",
            "postal_code": "115693021",
            "telephone_number": "516-512-0834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 LIDO BLVD # 1A",
            "city": "POINT LOOKOUT",
            "state": "NY",
            "postal_code": "115693021",
            "telephone_number": "516-512-0834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLINET",
        "first_name": "CHRISTOPHER",
        "middle_name": "JACOB",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-12-02",
        "last_updated": "2024-01-11",
        "certification_date": "2022-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "031776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Point Lookout, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.