Elevation Fitness

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

ELEVATION FITNESS

Practice address

41 John St
Babylon, NY 11702-2932

Phone

(631) 321-1900

NPI assigned

Dec 1, 2020

Organization subpart

No

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

Authorized official

Name

Peter Lombardi

Title

Owner

Phone

(631) 335-8578

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1606780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606780800000",
    "number": "1497350128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 JOHN ST",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "117022932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 JOHN ST",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "117022932",
            "telephone_number": "631-321-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATION FITNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-01",
        "last_updated": "2020-12-01",
        "certification_date": "2020-11-30",
        "status": "A",
        "authorized_official_last_name": "LOMBARDI",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-335-8578"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "christinard@elevationfitnessli.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "41 John St",
            "city": "Babylon",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117022932",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sharda Dunne, MA,CCC-SLP
• Heidi G. Durler
• Olivia Marilyn Eden
• Moliat M Edundiran I
• Miranda Edwards, LMSW
• Polly Angela Elkins
• Francesca Bucaro Emma, LMHC
• Jeffrey M Epstein, MD
• Eric Loughman PTPC
• Jeff Ericksen, LMT

• Massage Therapist in Babylon, NY
• Providers in Babylon, NY by specialty
• Massage Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; 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.