Organization Active NPI

Massage Therapist Long Island PC

  • Massage Therapist
  • Malverne, NY
National Provider Identifier
1639090145
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
MASSAGE THERAPIST LONG ISLAND PC
Practice address
114 Broadway
Malverne, NY 11565-1635
Phone
(516) 887-8900
Fax
(516) 200-0100
NPI assigned
Jul 22, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2026

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

Authorized official

Name
Kristina Miltcheva, LMTNPI 1164296083
Title
Manager
Phone
(516) 887-8900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

114 Broadway
Malverne, NY 11565-1635

Mailing address

114 Broadway
Malverne, NY 11565-1635
Phone (516) 887-8900

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1784678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784678400000",
    "number": "1639090145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 BROADWAY",
            "city": "MALVERNE",
            "state": "NY",
            "postal_code": "115651635",
            "telephone_number": "516-887-8900",
            "fax_number": "516-200-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 BROADWAY",
            "city": "MALVERNE",
            "state": "NY",
            "postal_code": "115651635",
            "telephone_number": "516-887-8900",
            "fax_number": "516-200-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASSAGE THERAPIST LONG ISLAND PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-22",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A",
        "authorized_official_last_name": "MILTCHEVA",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "516-887-8900",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Malverne, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; 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.