Active NPI
Lily Wong, LMT
- Massage Therapist
- New York, NY
National Provider Identifier
1447042403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 031591
- Practice address
- 425 5TH Ave Unit Office4
New York, NY 10016-2223 - Phone
- (212) 235-1088
- NPI assigned
- May 19, 2025
- Sex
- Female
- Sole proprietor
- No
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 | 031591 | NY | Primary |
Addresses
Primary practice location
425 5TH Ave Unit Office4
New York, NY 10016-2223
Mailing address
34 Old Pine Dr
Manhasset, NY 11030-2010
Phone (347) 906-1008
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 |
|---|---|---|---|
| 031591 | NY | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747612800000",
"number": "1447042403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34 OLD PINE DR",
"city": "MANHASSET",
"state": "NY",
"postal_code": "110302010",
"telephone_number": "347-906-1008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 5TH AVE UNIT OFFICE4",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100162223",
"telephone_number": "212-235-1088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WONG",
"first_name": "LILY",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-05-19",
"last_updated": "2025-05-19",
"certification_date": "2025-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NY",
"license": "031591",
"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 May 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.