Daniella Gonzalez, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

032017 Issued in NY

Practice address

1512 Washington Ave
West Islip, NY 11795-1630

Phone

(631) 572-7220

NPI assigned

Jan 22, 2021

Last updated

Feb 2, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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": "1611273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643760000000",
    "number": "1700476876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1512 WASHINGTON AVE",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117951630",
            "telephone_number": "631-572-7220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1512 WASHINGTON AVE",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117951630",
            "telephone_number": "631-572-7220"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "185 Merrick Rd Ste 2D",
            "address_purpose": "LOCATION",
            "city": "Lynbrook",
            "state": "NY",
            "postal_code": "115632787",
            "country_code": "US",
            "telephone_number": "631-572-7220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "DANIELLA",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-22",
        "last_updated": "2022-02-02",
        "certification_date": "2021-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "032017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "daniellag.lmt@gmail.com",
            "affiliation": "N",
            "address_1": "1512 Washington Ave",
            "city": "West Islip",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117951630",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Daniel Gliganic, PA
• Eve Margaret Glynn, LCAT ATR-BC
• Barry Edward Goldberg, M.D.
• Nancy Goley, CNM
• Oleg Goloubenko, MD
• Good Samaritan Hospital
• Good Samaritan Hospital
• Good Samaritan Hospital
• Good Samaritan Hospital (Good Samaritan Hospital-Multispecialty)
• Good Samaritan Hospital

• Massage Therapist in West Islip, NY
• Providers in West Islip, 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 Feb 2, 2022; 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.