Mauricio Patino, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

032223 Issued in NY

Practice address

465 Shore Rd Apt 6R
Long Beach, NY 11561-5338

Phone

(516) 761-5317

NPI assigned

Sep 11, 2020

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.

• Myomoov Inc

  • Massage Therapist
  • Long Beach, NY
  • NPI 1699531590
  NPD Authorized official

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

{
    "created_epoch": "1599782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599782400000",
    "number": "1619582178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 SHORE RD APT 6R",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115615338",
            "telephone_number": "516-761-5317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 SHORE RD APT 6R",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115615338",
            "telephone_number": "516-761-5317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATINO",
        "first_name": "MAURICIO",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-11",
        "last_updated": "2020-09-11",
        "certification_date": "2020-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "032223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Park Ave Eyeland East, LLC
• Park Avenue Eyeland Inc.
• Park Avenue Operating Company LLC
• Jamie Parnell, MHC
• Nicole Kristina Pasceri, M.S.ED.
• Patterns With Purpose Mental Health Counseling, PLLC
• Paws 4 Peds PT & OT PLLC
• Terry Payne, LMT
• Debra A Pearce, LMSW
• Stephen B Pearlstein, RPH

• Massage Therapist in Long Beach, NY
• Providers in Long Beach, 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 11, 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.