Welcome Wellness Massage Therapy P.C.

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

WELCOME WELLNESS MASSAGE THERAPY P.C.

Practice address

1305 Middle Country Rd
Selden, NY 11784-2554

Phone

(631) 880-3810

NPI assigned

Dec 14, 2022

Organization subpart

No

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

Authorized official

Name

Petrina DerobertisNPI 1467941138

Title

Licensed Massage Therapist

Phone

(631) 880-3810

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Petrina Loree Derobertis, LMT

  • Massage Therapist
  • Selden, NY
  • NPI 1467941138
  NPD Authorized official

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

{
    "created_epoch": "1670976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670976000000",
    "number": "1639881311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 MIDDLE COUNTRY RD",
            "city": "SELDEN",
            "state": "NY",
            "postal_code": "117842554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 MIDDLE COUNTRY RD",
            "city": "SELDEN",
            "state": "NY",
            "postal_code": "117842554",
            "telephone_number": "631-880-3810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELCOME WELLNESS MASSAGE THERAPY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-14",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A",
        "authorized_official_last_name": "DEROBERTIS",
        "authorized_official_first_name": "PETRINA",
        "authorized_official_title_or_position": "LICENSED MASSAGE THERAPIST",
        "authorized_official_telephone_number": "631-880-3810"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co (Walgreens #05135)
• Jennifer Walker, LPN
• Pauline Wallace, LPN
• Jillian Leigh Walsh, PHARMD
• Patricia Webley-Bethune, M.D.
• Hariet Ally Weltz, OTR/L
• Anthony Wenzel, DPT
• Barry Stuart Wilder, DDS
• Unika Alecia Williams-Crispin
• Jordan C. Williams, DC

• Massage Therapist in Selden, NY
• Providers in Selden, 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 Dec 14, 2022; 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.