Organization Active NPI

Surreal Serenity Massage Therapy, LLC.

  • Massage Therapist
  • Arverne, NY
National Provider Identifier
1326315821
Registry record updated Nov 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
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

Updated by the provider on Nov 28, 2011

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)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.