Kristina L Boccio, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

029961 Issued in NY

Practice address

604 Asharoken Blvd
Bay Shore, NY 11706-6302

Phone

(631) 560-3978

NPI assigned

Feb 20, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1550620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550620800000",
    "number": "1417413907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 ASHAROKEN BLVD",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117066302",
            "telephone_number": "631-560-3978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 ASHAROKEN BLVD",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117066302",
            "telephone_number": "631-560-3978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOCCIO",
        "first_name": "KRISTINA",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-20",
        "last_updated": "2019-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "029961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Scott Blaustein, DO
• Nicklos Blaylock
• Matthew J. Blitz, M.D., M.B.A.
• Andrea Blom
• Bobs Optical Inc.
• Erica Bodoff, CGC
• Kimberly Boehm, MS ED
• Carla Boeree
• Danielle Boeree
• Samantha Irene Boggs, LPN

• Massage Therapist in Bay Shore, NY
• Providers in Bay Shore, NY by specialty
• Massage Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2019; 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.