Irise Wellness Collective LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

IRISE WELLNESS COLLECTIVE LLC

Practice address

2880B Merrick Rd
Bellmore, NY 11710-5726

Phone

(516) 697-4770

NPI assigned

Nov 19, 2024

Last updated

Nov 19, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Adrianna Iris Dejesus, LMTNPI 1649800665

Title

Owner

Phone

(516) 697-4770

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Adrianna Iris Dejesus, LMT

  • Massage Therapist
  • Bellmore, NY
  • NPI 1649800665
  NPD Authorized official

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

{
    "created_epoch": "1731974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731974400000",
    "number": "1316762933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 BEDELL ST",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115204542",
            "telephone_number": "516-697-4770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2880B MERRICK RD",
            "city": "BELLMORE",
            "state": "NY",
            "postal_code": "117105726",
            "telephone_number": "516-697-4770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRISE WELLNESS COLLECTIVE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-19",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A",
        "authorized_official_last_name": "DEJESUS",
        "authorized_official_first_name": "ADRIANNA",
        "authorized_official_middle_name": "IRIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-697-4770",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joan Iannotta, BCBA, LBA
• Judith A. Iannotta, MA, CCC/SLP
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• Engela Ibrahimi
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• Massage Therapist in Bellmore, NY
• Providers in Bellmore, 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 Nov 19, 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.