Individual provider Active NPI

Katy Sandomenico, LMT

  • Massage Therapist
  • Brooklyn, NY
National Provider Identifier
1669059267
Registry record updated Mar 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
027589 Issued in NY
Practice address
1700 Bedford Ave Apt 24K
Brooklyn, NY 11225-2654
Phone
(631) 241-0847
NPI assigned
Mar 28, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 027589 NY Primary

Addresses

Primary practice location

1700 Bedford Ave Apt 24K
Brooklyn, NY 11225-2654

Mailing address

1700 Bedford Ave Apt 24K
Brooklyn, NY 11225-2654
Phone (631) 241-0847

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

LicenseStateTypeSpecialty
027589NYMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1616889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616889600000",
    "number": "1669059267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 BEDFORD AVE APT 24K",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112252654",
            "telephone_number": "631-241-0847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 BEDFORD AVE APT 24K",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112252654",
            "telephone_number": "631-241-0847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDOMENICO",
        "first_name": "KATY",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-28",
        "last_updated": "2021-03-28",
        "certification_date": "2021-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "027589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.

Verify at the official NPI Registry.