Individual provider Active NPI

Kim Nguyen, LMT

  • Massage Therapist
  • New York, NY
National Provider Identifier
1366282055
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
032629 Issued in NY
Practice address
57 W 57TH St Ste 603
New York, NY 10019-2810
Phone
(212) 757-1333
NPI assigned
May 29, 2024
Last updated
May 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2024

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 032629 NY Primary

Addresses

Primary practice location

57 W 57TH St Ste 603
New York, NY 10019-2810

Mailing address

40 1St Ave Apt 7I
New York, NY 10009-7636
Phone (646) 441-7895

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
032629NYMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Directions Physical Therapy & Acupuncture, PLLC CurrentSince Jun 2, 2024 Accepting new patients

Locations

57 W 57th St
Ste 603
New York, NY 10019
Phone (212) 757-1333

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1716940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1366282055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 1ST AVE APT 7I",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100097636",
            "telephone_number": "646-441-7895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 W 57TH ST STE 603",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100192810",
            "telephone_number": "212-757-1333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "KIM",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-29",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "032629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; 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.