Active NPI
Michele Sonnichsen
- Massage Therapist
- West Babylon, NY
National Provider Identifier
1508245077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 0266381
- Practice address
- 111 Old Farmingdale Rd
West Babylon, NY 11704-6509 - Phone
- (631) 626-5791
- NPI assigned
- May 29, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 0266381 | NY | Primary |
Addresses
Primary practice location
111 Old Farmingdale Rd
West Babylon, NY 11704-6509
Mailing address
111 Old Farmingdale Rd
West Babylon, NY 11704-6509
Phone (631) 626-5791
Other names 1
- Michele Grudzinski
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 |
|---|---|---|---|
| 0266381 | NY | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446768000000",
"number": "1508245077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 OLD FARMINGDALE RD",
"city": "WEST BABYLON",
"state": "NY",
"postal_code": "117046509",
"telephone_number": "631-626-5791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 OLD FARMINGDALE RD",
"city": "WEST BABYLON",
"state": "NY",
"postal_code": "117046509",
"telephone_number": "631-626-5791"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SONNICHSEN",
"first_name": "MICHELE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-05-29",
"last_updated": "2015-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NY",
"license": "0266381",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MICHELE",
"last_name": "GRUDZINSKI",
"code": "5",
"type": "Other Name"
}
]
}Other providers in West Babylon, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.