Adrianna Iris Dejesus, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

029032 Issued in NY

Practice address

2880B Merrick Rd
Bellmore, NY 11710-5726

Phone

(516) 697-4770

NPI assigned

Jan 17, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Irise Wellness Collective LLC

  • Massage Therapist
  • Bellmore, NY
  • NPI 1316762933
  NPD Authorized official

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

{
    "created_epoch": "1579219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1649800665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 BEDELL ST",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115204542",
            "telephone_number": "516-697-4770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2880B MERRICK RD",
            "city": "BELLMORE",
            "state": "NY",
            "postal_code": "117105726",
            "telephone_number": "516-697-4770"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 Bedell St",
            "address_purpose": "LOCATION",
            "city": "Freeport",
            "state": "NY",
            "postal_code": "115204542",
            "country_code": "US",
            "telephone_number": "516-697-4770",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "294 W Merrick Rd Ste 10",
            "address_purpose": "LOCATION",
            "city": "Freeport",
            "state": "NY",
            "postal_code": "115203357",
            "country_code": "US",
            "telephone_number": "516-697-4770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEJESUS",
        "first_name": "ADRIANNA",
        "middle_name": "IRIS",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-17",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "029032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Davison, LMSW
• Julian Dawkins
• Pamela De Los Rios
• Jennifer De Vastey
• Kyle Robert Deakin
• Elaine Deluca-Stephan
• Christina Deluca
• Danielle Dematteo
• Brett Steven Devergilio, MAT
• Jamie Diamond

• Massage Therapist in Bellmore, NY
• Providers in Bellmore, 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 Nov 18, 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.