Individual provider Active NPI

Paula Decrescenzo, LMT

  • Massage Therapist
  • Valley Cottage, NY
National Provider Identifier
1336310671
Registry record updated Jul 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
021839 Issued in NY
Practice address
116 Sierra Vista LN
Valley Cottage, NY 10989-2702
Phone
(845) 271-9612
NPI assigned
Mar 14, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2009

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 021839 NY Primary

Addresses

Primary practice location

116 Sierra Vista LN
Valley Cottage, NY 10989-2702

Mailing address

116 Sierra Vista LN
Valley Cottage, NY 10989-2702

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

NPI Registry JSON

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

{
    "created_epoch": "1205452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247270400000",
    "number": "1336310671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 SIERRA VISTA LN",
            "city": "VALLEY COTTAGE",
            "state": "NY",
            "postal_code": "109892702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 SIERRA VISTA LN",
            "city": "VALLEY COTTAGE",
            "state": "NY",
            "postal_code": "109892702",
            "telephone_number": "845-271-9612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECRESCENZO",
        "first_name": "PAULA",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-14",
        "last_updated": "2009-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "021839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Cottage, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2009; 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.