Lisa Maria Soldano, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

030184-01 Issued in NY

Practice address

18 Weeks St
Blue Point, NY 11715-1513

Phone

(631) 419-6300

NPI assigned

Jul 31, 2020

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1596153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596153600000",
    "number": "1689283095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 POWELL AVE",
            "city": "FARMINGVILLE",
            "state": "NY",
            "postal_code": "117382419",
            "telephone_number": "516-965-6110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 WEEKS ST",
            "city": "BLUE POINT",
            "state": "NY",
            "postal_code": "117151513",
            "telephone_number": "631-419-6300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "34 Powell Ave",
            "address_purpose": "LOCATION",
            "city": "Farmingville",
            "state": "NY",
            "postal_code": "117382419",
            "country_code": "US",
            "telephone_number": "516-965-6110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOLDANO",
        "first_name": "LISA",
        "middle_name": "MARIA",
        "name_prefix": "Miss",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-31",
        "last_updated": "2020-07-31",
        "certification_date": "2020-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "030184-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Angelina Sparacio
• Madison Drew Sparacio
• Jessica Spatarella, OT
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• Massage Therapist in Blue Point, NY
• Providers in Blue Point, 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 Jul 31, 2020; 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.