Active NPI
Surreal Serenity Massage Therapy, LLC.
- Massage Therapist
- Arverne, NY
National Provider Identifier
1326315821
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- Legal business name
- SURREAL SERENITY MASSAGE THERAPY, LLC.
- Practice address
- 519 Beach 66TH St Ste 3
Arverne, NY 11692-1330 - Phone
- (917) 650-6857
- NPI assigned
- Nov 28, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Sheree T. Sophas, LMT
- Title
- Ceo
- Phone
- (917) 650-6857
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | |||
| Massage Therapist | 225700000X | Primary |
Addresses
Primary practice location
519 Beach 66TH St Ste 3
Arverne, NY 11692-1330
Mailing address
519 Beach 66TH Street, Suite 3
Arverne, NY 11692-1330
Phone (917) 650-6857
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Massage Therapist
- Arverne, NY
- NPI 1487966628
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322438400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1322438400000",
"number": "1326315821",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "519 BEACH 66TH STREET, SUITE 3",
"city": "ARVERNE",
"state": "NY",
"postal_code": "116921330",
"telephone_number": "917-650-6857"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "519 BEACH 66TH ST STE 3",
"city": "ARVERNE",
"state": "NY",
"postal_code": "116921330",
"telephone_number": "917-650-6857"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SURREAL SERENITY MASSAGE THERAPY, LLC.",
"organizational_subpart": "NO",
"enumeration_date": "2011-11-28",
"last_updated": "2011-11-28",
"status": "A",
"authorized_official_last_name": "SOPHAS",
"authorized_official_first_name": "SHEREE",
"authorized_official_middle_name": "T.",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "917-650-6857",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LMT"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arverne, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.