Active NPI
Qiaoling Lisa Kuang, LMT
- Massage Therapist
- Forest Hills, NY
National Provider Identifier
1487976205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 022530
- Practice address
- 102-10 62ND Rd
Forest Hills, NY 11375 - Phone
- (917) 379-7532
- NPI assigned
- Feb 20, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | |||
| Massage Therapist | 225700000X | 022530 | NY | Primary |
Addresses
Primary practice location
102-10 62ND Rd
Forest Hills, NY 11375
Mailing address
102-10 62ND Rd
Forest Hills, NY 11375
Phone (917) 379-7532
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 |
|---|---|---|---|
| 022530 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1345075200000",
"number": "1487976205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102-10 62ND RD",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "11375",
"telephone_number": "917-379-7532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102-10 62ND RD",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "11375",
"telephone_number": "917-379-7532"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUANG",
"first_name": "QIAOLING",
"middle_name": "LISA",
"name_prefix": "Miss",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-02-20",
"last_updated": "2012-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NY",
"license": "022530",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Forest Hills, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.