Active NPI
Nora Difabio
- Massage Therapist
- Port Jefferson Station, NY
National Provider Identifier
1639559701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 016237-1
- Practice address
- 1050 Hallock Ave Ste 3
Port Jefferson Station, NY 11776-1214 - Phone
- (516) 736-4691
- NPI assigned
- Jun 4, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 016237-1 | NY | Primary |
Addresses
Primary practice location
1050 Hallock Ave Ste 3
Port Jefferson Station, NY 11776-1214
Mailing address
18 Deer Ave
Middle Island, NY 11953-1509
Phone (516) 314-1352
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016237-1 | NY | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mother Hen Massage | Massage Therapist | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Massage Therapist
- Southold, NY
- NPI 1063233328
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632441600000",
"number": "1639559701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 DEER AVE",
"city": "MIDDLE ISLAND",
"state": "NY",
"postal_code": "119531509",
"telephone_number": "516-314-1352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 HALLOCK AVE STE 3",
"city": "PORT JEFFERSON STATION",
"state": "NY",
"postal_code": "117761214",
"telephone_number": "516-736-4691"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIFABIO",
"first_name": "NORA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-06-04",
"last_updated": "2021-09-24",
"certification_date": "2021-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NY",
"license": "016237-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Jefferson Station, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.