Beyond Sports Acupuncture and Massage Therapy PLLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

BEYOND SPORTS ACUPUNCTURE AND MASSAGE THERAPY PLLC

Practice address

203 Cayuga Ave
Deer Park, NY 11729-1624

Phone

(631) 481-6478

NPI assigned

Jan 23, 2023

Last updated

Jan 23, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Joshua GutierrezNPI 1073866828

Title

Acupuncturist

Phone

(631) 481-6478

Specialties & licenses 2

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joshua Lee Gutierrez, L.A.C.

  • Acupuncturist
  • Copiague, NY
  • NPI 1073866828
  NPD Authorized official

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

{
    "created_epoch": "1674432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674432000000",
    "number": "1346955473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 CAYUGA AVE",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117291624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 CAYUGA AVE",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117291624",
            "telephone_number": "631-481-6478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEYOND SPORTS ACUPUNCTURE AND MASSAGE THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-23",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A",
        "authorized_official_last_name": "GUTIERREZ",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "ACUPUNCTURIST",
        "authorized_official_telephone_number": "631-481-6478",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSAGE THERAPIST",
            "identifier": "020015",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACUPUNCTURIST",
            "identifier": "004878",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Belle Vie NC
• Geraldine Abonete Beltran, PT
• Jessica Benedetto
• Mayan Oneg Beroukhim, OTR/L
• Amanda Betzold
• Julie Rose Bilello
• Ritamarie Bilello, DDS
• Kavitha Binu
• BJ's Wholesale Club Inc.
• Elines G Black

• Acupuncturist in Deer Park, NY
• Providers in Deer Park, NY by specialty
• Acupuncturist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; 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.