Lisa Emanuel

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

18KT01371500 Issued in NJ

Practice address

2301 E Evesham Rd Ste 109
Voorhees, NJ 08043-4502

Phone

(917) 651-7896

NPI assigned

Jun 3, 2020

Last updated

Nov 6, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sugarstone Spa LLC

  • Massage Therapist
  • Voorhees, NJ
  • NPI 1154945244

  Single Specialty

  NPD Authorized official

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

{
    "created_epoch": "1591142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604620800000",
    "number": "1336763424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 E EVESHAM RD STE 109",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434502",
            "telephone_number": "609-332-0176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 E EVESHAM RD STE 109",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434502",
            "telephone_number": "917-651-7896"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22 Gardenia Dr",
            "address_purpose": "LOCATION",
            "city": "Maple Shade",
            "state": "NJ",
            "postal_code": "080521405",
            "country_code": "US",
            "telephone_number": "917-651-7896",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EMANUEL",
        "first_name": "LISA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-03",
        "last_updated": "2020-11-06",
        "certification_date": "2020-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NJ",
            "license": "18KT01371500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Leila Elidrissi, COTA
• Elisabeth Horowitz M.D. LLC
• Ellen F. Brooks MD,LLC
• Allysa Ellis
• Eric Ellis, PA
• Emapthy With Boundaries Counseling Services LLC
• Salma Emara, DO
• Emergency Physician Associates of South Jersey P C
• Emeritus Corporation (Brookdale Echelon Lake)
• Alyson Emmons, DO

• Massage Therapist in Voorhees, NJ
• Providers in Voorhees, NJ by specialty
• Massage Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2020; 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.