Active NPI
Sophia Lee, LMT
- Massage Therapist
- New York, NY
National Provider Identifier
1437860566
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 01680001
- Practice address
- 576 3Rd Ave
New York, NY 10016-3106 - Phone
- (212) 661-0158
- NPI assigned
- Dec 9, 2022
- Sex
- Female
- 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 | 01680001 | NY | Primary |
Addresses
Primary practice location
576 3Rd Ave
New York, NY 10016-3106
Mailing address
9 Ave at Port Imperial Apt 1021
West New York, NJ 07093-7166
Phone (646) 648-1424
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 |
|---|---|---|---|
| 01680001 | NY | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670544000000",
"number": "1437860566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 AVE AT PORT IMPERIAL APT 1021",
"city": "WEST NEW YORK",
"state": "NJ",
"postal_code": "070937166",
"telephone_number": "646-648-1424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "576 3RD AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100163106",
"telephone_number": "212-661-0158"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "SOPHIA",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-12-09",
"last_updated": "2022-12-09",
"certification_date": "2022-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NY",
"license": "01680001",
"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 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.