Organization Active NPI

Embrace Your Energy, LLC

  • Athletic Trainer
  • Coram, NY
National Provider Identifier
1427604206
Registry record updated Aug 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
Legal business name
EMBRACE YOUR ENERGY, LLC
Practice address
300 Wincoram Way
Coram, NY 11727
Phone
(631) 741-5182
NPI assigned
Aug 16, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2019

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

Authorized official

Name
Sharon Infante
Title
Owner/Manager
Phone
(631) 741-5182

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic TrainerGroup: 193400000X SINGLE SPECIALTY GROUP 2255A2300X Primary

Addresses

Primary practice location

300 Wincoram Way
Coram, NY 11727

Mailing address

605 Dolphin LN
Holbrook, NY 11741-6205
Phone (631) 902-0178

Other practice location 1

605 Dolphin Ln
Holbrook, NY 11741-6205
Phone (631) 741-5182

Other practice location 2

380 Old Town Rd
East Setauket, NY 11733-3482
Phone (631) 741-5182

Other practice location 3

375 Locust Ave
Oakdale, NY 11769-1650
Phone (631) 741-5182

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL info@embracingyourenergy.com

National Provider Directory

National Provider Directory

Locations

375 Locust Ave
Oakdale, NY 11769
Phone (631) 741-5182

380 Old Town Rd
Setauket, NY 11733
Phone (631) 730-4900

NPI Registry JSON

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

{
    "created_epoch": "1565913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565913600000",
    "number": "1427604206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 DOLPHIN LN",
            "city": "HOLBROOK",
            "state": "NY",
            "postal_code": "117416205",
            "telephone_number": "631-902-0178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 WINCORAM WAY",
            "city": "CORAM",
            "state": "NY",
            "postal_code": "11727",
            "telephone_number": "631-741-5182"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "605 Dolphin Ln",
            "address_purpose": "LOCATION",
            "city": "Holbrook",
            "state": "NY",
            "postal_code": "117416205",
            "country_code": "US",
            "telephone_number": "631-741-5182",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "380 Old Town Rd",
            "address_purpose": "LOCATION",
            "city": "East Setauket",
            "state": "NY",
            "postal_code": "117333482",
            "country_code": "US",
            "telephone_number": "631-741-5182",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "375 Locust Ave",
            "address_purpose": "LOCATION",
            "city": "Oakdale",
            "state": "NY",
            "postal_code": "117691650",
            "country_code": "US",
            "telephone_number": "631-741-5182",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EMBRACE YOUR ENERGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-16",
        "last_updated": "2019-08-16",
        "status": "A",
        "authorized_official_last_name": "INFANTE",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "631-741-5182"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "info@embracingyourenergy.com",
            "affiliation": "N",
            "address_1": "605 Dolphin Ln",
            "city": "Holbrook",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117416205",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Coram, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.