Organization Active NPI

Magic Hands, LLC

  • Massage Therapist
  • Ronkonkoma, NY
National Provider Identifier
1437646072
Registry record updated Apr 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
010875 Issued in NY
Legal business name
MAGIC HANDS, LLC
Practice address
2805 Veterans Memorial Hwy Ste 10
Ronkonkoma, NY 11779-7680
Phone
(516) 297-7811
Fax
(480) 813-1868
NPI assigned
Apr 19, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2018

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

Authorized official

Name
Mr. Aubrey H Wilson, LMT
Title
Owner / President
Phone
(516) 297-7811

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X 010875 NY Primary

Addresses

Primary practice location

2805 Veterans Memorial Hwy Ste 10
Ronkonkoma, NY 11779-7680

Mailing address

126 Inlet Drive
Lindenhurst, NY 11757
Phone (516) 298-7811

National Provider Directory

National Provider Directory

Locations

2805 Veterans Memorial Hwy
Ste 10
Ronkonkoma, NY 11779
Phone (516) 297-7811

NPI Registry JSON

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

{
    "created_epoch": "1524096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524096000000",
    "number": "1437646072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 INLET DRIVE",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "11757",
            "telephone_number": "516-298-7811",
            "fax_number": "480-813-1868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2805 VETERANS MEMORIAL HWY STE 10",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117797680",
            "telephone_number": "516-297-7811",
            "fax_number": "480-813-1868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGIC HANDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-19",
        "last_updated": "2018-04-19",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "AUBREY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER / PRESIDENT",
        "authorized_official_telephone_number": "516-297-7811",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "010875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ronkonkoma, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2018; 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.