Active NPI
Michelle Roberts, L.M.T
- Massage Therapist
- New York, NY
National Provider Identifier
1649330960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 009070
- Practice address
- 18 E 41St St
Suite 1503
New York, NY 10017-6222 - Phone
- (917) 304-2512
- Fax
- (212) 213-5097
- NPI assigned
- Dec 8, 2006
- Sex
- Female
- 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 | 009070 | NY | Primary |
Addresses
Primary practice location
18 E 41St St
Suite 1503
New York, NY 10017-6222
Mailing address
400 Chambers St
10Y
New York, NY 10282-1003
Phone (917) 304-2512
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dynex Global LLC | Current | Accepting new patients | |
| Psoas Massage Therapy Offices, P.C. | Massage Therapist | Past | Accepting new patients |
Organizations & group practices 2
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
- New York, NY
- NPI 1710047030
-
- Non-emergency Medical Transport (VAN)
- New York, NY
- NPI 1962110684
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1397174400000",
"number": "1649330960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 CHAMBERS ST",
"address_2": "10Y",
"city": "NEW YORK",
"state": "NY",
"postal_code": "102821003",
"telephone_number": "917-304-2512",
"fax_number": "212-213-5097"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 E 41ST ST",
"address_2": "SUITE 1503",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100176222",
"telephone_number": "917-304-2512",
"fax_number": "212-213-5097"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "MICHELLE",
"credential": "L.M.T",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-08",
"last_updated": "2014-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NY",
"license": "009070",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.