Body Mind Spirit Massage Therapy PLLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

BODY MIND SPIRIT MASSAGE THERAPY PLLC

Practice address

395 Independence PLZ Ste 220
Selden, NY 11784-2418

Phone

(631) 848-7663

NPI assigned

Jun 13, 2024

Last updated

Jun 13, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Michael Tenerelli, LMT, CPTNPI 1467112912

Title

Licensed Massage Therapist

Phone

(631) 848-7663

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Michael Domenick Tenerelli, LMT

  • Massage Therapist
  • Kings Park, NY
  • NPI 1467112912

  Single Specialty

  NPD Authorized official

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

{
    "created_epoch": "1718236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718236800000",
    "number": "1659114189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "395 INDEPENDENCE PLZ STE 220",
            "city": "SELDEN",
            "state": "NY",
            "postal_code": "117842418",
            "telephone_number": "631-848-7663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 INDEPENDENCE PLZ STE 220",
            "city": "SELDEN",
            "state": "NY",
            "postal_code": "117842418",
            "telephone_number": "631-848-7663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY MIND SPIRIT MASSAGE THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-13",
        "last_updated": "2024-06-13",
        "certification_date": "2024-03-01",
        "status": "A",
        "authorized_official_last_name": "TENERELLI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "LICENSED MASSAGE THERAPIST",
        "authorized_official_telephone_number": "631-848-7663",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMT, CPT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kerri Elaine Bjorneby, LPN
• Justin Bjornstad, RN
• Nyquellet Carolyn Blake, RN
• Charles G Bleecher, MD
• Jeannine Bockelmann, RN
• Jennifer Lynn Bollmann, LPN
• Henri Alexander Bonilla, PTA
• Kimberly Booker
• Pauline Angella Boothe
• Annemarie C Bradley, LPN

• Massage Therapist in Selden, NY
• Providers in Selden, 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 Jun 13, 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.