Mary Alice Chavez, LMT

Primary specialty

SpecialistTaxonomy code 174400000X

License

023083-1 Issued in NY

Practice address

26 Deepdale Dr
Brentwood, NY 11717-1330

Phone

(631) 813-3786

NPI assigned

Nov 19, 2010

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

Other identifiers 1

Electronic endpoints 1

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": "1290124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775692800000",
    "number": "1447552682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 DEEPDALE DR",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117171330",
            "telephone_number": "631-943-1865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 DEEPDALE DR",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117171330",
            "telephone_number": "631-813-3786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVEZ",
        "first_name": "MARY",
        "middle_name": "ALICE",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-19",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "023083-1",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "023083-1",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1447552682",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Massage",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Massage",
            "address_1": "26 Deepdale Dr",
            "city": "Brentwood",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117171330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Eve Charasz, MD
• Arika Chatman
• Aqsa Chaudhri, NP
• Mohammad Abraham Chaudry, NP
• Hector Antonio Chavez Segovia
• Michelle Chavis, LMSW
• Karla Chelin Espinoza
• Geraldine Chery
• Alicia L. Chew, LPN
• Angela Chionchio, FNP-C

• Specialist in Brentwood, NY
• Providers in Brentwood, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2026; 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.