Active NPI
Lamont Isaiah Hightower
- Massage Therapist
- New York, NY
National Provider Identifier
1407664584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 031403
- Practice address
- 868 Amsterdam Ave
New York, NY 10025-4456 - Phone
- (917) 294-7034
- NPI assigned
- Dec 20, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 031403 | NY | Primary |
Addresses
Primary practice location
868 Amsterdam Ave
New York, NY 10025-4456
Mailing address
868 Amsterdam Ave
New York, NY 10025-4456
Phone (917) 294-7034
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
| License | State | Type | Specialty |
|---|---|---|---|
| 031403 | NY | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1734652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734652800000",
"number": "1407664584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "868 AMSTERDAM AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100254456",
"telephone_number": "917-294-7034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "868 AMSTERDAM AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100254456",
"telephone_number": "917-294-7034"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HIGHTOWER",
"first_name": "LAMONT",
"middle_name": "ISAIAH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-12-20",
"last_updated": "2024-12-20",
"certification_date": "2024-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NY",
"license": "031403",
"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 Dec 20, 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.