NPIMap

Organization Active NPI

Kneading Time, LLC

Doing business as Kneading Time Spa & Laser

  • Massage Therapist
  • Cornwall on Hudson, NY
National Provider Identifier
1467275115
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
KNEADING TIME, LLC
Doing business as
Kneading Time Spa & Laser
Practice address
45 Academy Ave
Cornwall on Hudson, NY 12520-1340
Phone
(845) 863-3009
NPI assigned
Nov 1, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Authorized official

Name
Mrs. Damaris Summo, LMTNPI 1083437719
Title
Owner
Phone
(845) 863-3009

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

45 Academy Ave
Cornwall on Hudson, NY 12520-1340

Mailing address

30 Hannah LN
New Windsor, NY 12553-7287
Phone (917) 468-4979

Other names 1

  • Kneading Time Spa & Laser Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1730419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730764800000",
    "number": "1467275115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 HANNAH LN",
            "city": "NEW WINDSOR",
            "state": "NY",
            "postal_code": "125537287",
            "telephone_number": "917-468-4979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 ACADEMY AVE",
            "city": "CORNWALL ON HUDSON",
            "state": "NY",
            "postal_code": "125201340",
            "telephone_number": "845-863-3009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNEADING TIME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-01",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A",
        "authorized_official_last_name": "SUMMO",
        "authorized_official_first_name": "DAMARIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-863-3009",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kneading Time Spa & Laser",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kneading Time Spa & Laser",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cornwall on Hudson, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; 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.