Functional Massage Therapy PC

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

018019 Issued in NY

Legal business name

FUNCTIONAL MASSAGE THERAPY PC

Practice address

755 Waverly Ave
Suite #206
Holtsville, NY 11742-1190

Phone

(631) 730-8300

NPI assigned

Mar 30, 2015

Organization subpart

No

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

Authorized official

Name

Sherry Cole

Title

Director/Licensed Massage Therapist

Phone

(631) 730-8300

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1427673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427673600000",
    "number": "1609261593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 WAVERLY AVE",
            "address_2": "SUITE #206",
            "city": "HOLTSVILLE",
            "state": "NY",
            "postal_code": "117421190",
            "telephone_number": "631-730-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 WAVERLY AVE",
            "address_2": "SUITE #206",
            "city": "HOLTSVILLE",
            "state": "NY",
            "postal_code": "117421190",
            "telephone_number": "631-730-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNCTIONAL MASSAGE THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-30",
        "last_updated": "2015-03-30",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_title_or_position": "DIRECTOR/LICENSED MASSAGE THERAPIST",
        "authorized_official_telephone_number": "631-730-8300"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "018019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph B Flohr
• Dana Forstadt, LCSW
• Nicole Fortin
• Maryrose Fried, LPN
• Lawrence Jay Friedman, D.D.S.
• Steven J. Gerlang, LMSW
• Tina Marie Giordano
• Jennifer Elizabeth Giron-Schook, MSED
• Stephany Alexandra Giron
• Marjorie Goldin, LCSW

• Massage Therapist in Holtsville, NY
• Providers in Holtsville, 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 Mar 30, 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.

Verify at the official NPI Registry.