Active NPI
Laura Ann Mayenik, LMT
- Massage Therapist
- Valley Cottage, NY
National Provider Identifier
1659033041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 023928
- Practice address
- 910 Ashland St
Valley Cottage, NY 10989-2613 - Phone
- (914) 310-9740
- NPI assigned
- Oct 12, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 | 023928 | NY | Primary |
Addresses
Primary practice location
910 Ashland St
Valley Cottage, NY 10989-2613
Mailing address
910 Ashland St
Valley Cottage, NY 10989-2613
Phone (914) 310-9740
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 |
|---|---|---|---|
| Scarborough Family Chiropractic, P.C. | Single Specialty | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633996800000",
"number": "1659033041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "910 ASHLAND ST",
"city": "VALLEY COTTAGE",
"state": "NY",
"postal_code": "109892613",
"telephone_number": "914-310-9740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "910 ASHLAND ST",
"city": "VALLEY COTTAGE",
"state": "NY",
"postal_code": "109892613",
"telephone_number": "914-310-9740"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAYENIK",
"first_name": "LAURA",
"middle_name": "ANN",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-10-12",
"last_updated": "2021-10-12",
"certification_date": "2021-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "NY",
"license": "023928",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Valley Cottage, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.