Individual provider Active NPI

Frances A. Sandifer, LMT

  • Massage Therapist
  • Riverhead, NY
National Provider Identifier
1336727312
Registry record updated Mar 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
019221-01 Issued in NY
Practice address
189 Main Road Ste. a
Riverhead, NY 11901-1957
Phone
(631) 369-4323
Fax
(631) 369-4325
NPI assigned
Mar 31, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2021

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 019221-01 NY Primary

Addresses

Primary practice location

189 Main Road Ste. a
Riverhead, NY 11901-1957

Mailing address

189 Main Road Ste. a
Riverhead, NY 11901-1957
Phone (631) 369-4323

Other names 1

  • Frances A Russo Former name

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
019221-01NYMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffrey Nazar D.C., P.C. CurrentSince Nov 18, 2023 Accepting new patients

Locations

189 Main Rd
Ste A
Riverhead, NY 11901
Phone (631) 369-4323

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": "1617148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617148800000",
    "number": "1336727312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "189 MAIN ROAD STE. A",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119011957",
            "telephone_number": "631-369-4323",
            "fax_number": "631-369-4325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "189 MAIN ROAD STE. A",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119011957",
            "telephone_number": "631-369-4323",
            "fax_number": "631-369-4325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDIFER",
        "first_name": "FRANCES",
        "middle_name": "A.",
        "name_prefix": "Mrs.",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-31",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "019221-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FRANCES",
            "last_name": "RUSSO",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Riverhead, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; 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.