Timothy Daniel Cordaro, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

021764-1 Issued in NY

Practice address

930 N Broadway Ste 100
Massapequa, NY 11758-2394

Phone

(516) 778-7228

NPI assigned

Sep 18, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Halcyon Acupuncture of Long Island PLLC

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  • Douglaston, NY
  • NPI 1376141010
  NPD (past)
• Wudi LLC

  • Massage Therapist
  • East Meadow, NY
  • NPI 1154915726
  NPD (past)

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

{
    "created_epoch": "1568764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568764800000",
    "number": "1508416751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 N BROADWAY STE 100",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117582394",
            "telephone_number": "516-778-7228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 N BROADWAY STE 100",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117582394",
            "telephone_number": "516-778-7228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDARO",
        "first_name": "TIMOTHY",
        "middle_name": "DANIEL",
        "name_prefix": "Mr.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-09-18",
        "last_updated": "2019-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "021764-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer M Conrad
• Christie Leigh Conway, OTR/L
• Nicole Coppack, LMSW
• Mary Michele Coppola, PT
• Christina M Corda
• Laurie M Cordero, M.A. CCC-SLP
• Meagan Anne Corrao, DPT
• Maria Corso, LCSW
• Kimberly Ann Cossaro
• Lori-Marie Costa, L.P.N

• Massage Therapist in Massapequa, NY
• Providers in Massapequa, 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 Sep 18, 2019; 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.