Organization Active NPI

Montgomery Massage Therapy Group, P.C.

  • Specialist
  • Montgomery, NY
National Provider Identifier
1699970236
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
020663 Issued in NY
Legal business name
MONTGOMERY MASSAGE THERAPY GROUP, P.C.
Practice address
201 Ward St
Suite F.
Montgomery, NY 12549-1248
Phone
(845) 457-2729
Fax
(845) 457-8159
NPI assigned
Jun 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Angela Marie Patruno, LMT
Title
Officer
Phone
(845) 457-2729

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 020663 NY Primary

Addresses

Primary practice location

201 Ward St
Suite F.
Montgomery, NY 12549-1248

Mailing address

79 W Corbett Rd
Montgomery, NY 12549-1923
Phone (845) 457-2729

National Provider Directory

National Provider Directory

Locations

201 Ward St
Ste F
Montgomery, NY 12549
Phone (845) 457-1880

NPI Registry JSON

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

{
    "created_epoch": "1181865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699970236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 W CORBETT RD",
            "city": "MONTGOMERY",
            "state": "NY",
            "postal_code": "125491923",
            "telephone_number": "845-457-2729",
            "fax_number": "845-457-8159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 WARD ST",
            "address_2": "SUITE F.",
            "city": "MONTGOMERY",
            "state": "NY",
            "postal_code": "125491248",
            "telephone_number": "845-457-2729",
            "fax_number": "845-457-8159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTGOMERY MASSAGE THERAPY GROUP, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PATRUNO",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "845-457-2729",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "020663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.