Active NPI
Massage Therapist Long Island PC
- Massage Therapist
- Malverne, NY
National Provider Identifier
1639090145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kristina Miltcheva, LMT
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 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 DirectoryPractitioners & 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.
-
- Massage Therapist
- Malverne, NY
- NPI 1164296083
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.