Organization Active NPI

Elevate Massage & Bodyworks Corp

  • Massage Therapist
  • Hauppauge, NY
National Provider Identifier
1649091216
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
ELEVATE MASSAGE & BODYWORKS CORP
Practice address
527 Townline Rd Ste 200
Hauppauge, NY 11788-2833
Phone
(631) 943-1243
NPI assigned
Oct 17, 2024
Last updated
Oct 17, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

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

Authorized official

Name
Paula Kolano, LMT, MLD-CNPI 1215573696
Title
Licensed Massage Therapist
Phone
(631) 943-1243

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

527 Townline Rd Ste 200
Hauppauge, NY 11788-2833

Mailing address

765 Van Buren Ave
West Islip, NY 11795-1337
Phone (631) 943-1243

National Provider Directory

National Provider Directory

Locations

527 Townline Rd
Ste 200
Hauppauge, NY 11788
Phone (631) 838-0937

Practitioners & affiliated clinicians

Practitioners 2

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": "1729123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729123200000",
    "number": "1649091216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "765 VAN BUREN AVE",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117951337",
            "telephone_number": "631-943-1243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 TOWNLINE RD STE 200",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117882833",
            "telephone_number": "631-943-1243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATE MASSAGE & BODYWORKS CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-17",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A",
        "authorized_official_last_name": "KOLANO",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "LICENSED MASSAGE THERAPIST",
        "authorized_official_telephone_number": "631-943-1243",
        "authorized_official_credential": "LMT, MLD-C"
    },
    "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 Hauppauge, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; 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.