Organization Active NPI

Atlantis PT Massage and Acupuncture PLLC

  • Physical Therapist
  • Saint James, NY
National Provider Identifier
1700330347
Registry record updated Aug 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
036773 Issued in NY
Legal business name
ATLANTIS PT MASSAGE AND ACUPUNCTURE PLLC
Practice address
466 Moriches Rd
Saint James, NY 11780-2041
Phone
(631) 584-2323
NPI assigned
Aug 11, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2016

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

Authorized official

Name
Janet Mulhall, LMTNPI 1154658391
Title
Manager
Phone
(631) 584-2323

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X 004990 NY
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 036773 NY Primary
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X 003371 NY

Addresses

Primary practice location

466 Moriches Rd
Saint James, NY 11780-2041

Mailing address

466 Moriches Rd
Saint James, NY 11780-2041
Phone (631) 584-2323

National Provider Directory

National Provider Directory

Locations

466 Moriches Rd
Saint James, NY 11780
Phone (631) 584-2323

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1470873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470873600000",
    "number": "1700330347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "466 MORICHES RD",
            "city": "SAINT JAMES",
            "state": "NY",
            "postal_code": "117802041",
            "telephone_number": "631-584-2323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "466 MORICHES RD",
            "city": "SAINT JAMES",
            "state": "NY",
            "postal_code": "117802041",
            "telephone_number": "631-584-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIS PT MASSAGE AND ACUPUNCTURE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-11",
        "last_updated": "2016-08-11",
        "status": "A",
        "authorized_official_last_name": "MULHALL",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "631-584-2323",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "004990",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "036773",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "003371",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint James, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2016; 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.