Active NPI
Lance Parker
- Massage Therapist
- Hicksville, NY
National Provider Identifier
1649098732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 029650
- Practice address
- 608 S Oyster Bay Rd
Hicksville, NY 11801-3528 - Phone
- (516) 931-3222
- NPI assigned
- Sep 28, 2024
- Sex
- Male
- Sole proprietor
- No
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 | 029650 | NY | Primary |
Addresses
Primary practice location
608 S Oyster Bay Rd
Hicksville, NY 11801-3528
Mailing address
120 James L L Burrell Ave
Hempstead, NY 11550-1866
Phone (516) 425-2370
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 |
|---|---|---|---|
| 029650 | NY | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727481600000",
"number": "1649098732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 JAMES L L BURRELL AVE",
"city": "HEMPSTEAD",
"state": "NY",
"postal_code": "115501866",
"telephone_number": "516-425-2370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "608 S OYSTER BAY RD",
"city": "HICKSVILLE",
"state": "NY",
"postal_code": "118013528",
"telephone_number": "516-931-3222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKER",
"first_name": "LANCE",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-09-28",
"last_updated": "2024-09-28",
"certification_date": "2024-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NY",
"license": "029650",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hicksville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.