Bernice F Graves

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

02038301 Issued in NY

Practice address

73 Mason St # B
Hempstead, NY 11550-6107

Phone

(516) 406-5121

NPI assigned

Dec 17, 2021

Last updated

Dec 17, 2021By the provider in NPPES

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": "1639699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639699200000",
    "number": "1710647763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 MASON ST # B",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115506107",
            "telephone_number": "516-406-5121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 MASON ST # B",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115506107",
            "telephone_number": "516-406-5121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAVES",
        "first_name": "BERNICE",
        "middle_name": "F",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-17",
        "last_updated": "2021-12-17",
        "certification_date": "2021-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "02038301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olivia Gordon
• Shenika Gordon, BA, CASAC-T
• Tiffanie Gordon, REGISTERED NURSE
• Ryan Gotkin
• Terry Edward Grant, DMD
• Christopher M Gray, OTR/L, PTA
• Greater Nassau Orthopedic
• Hassan Shaheed Greenidge, PA
• Breana Sha-Lay Grier
• Victoria Groce, MTH

• Massage Therapist in Hempstead, NY
• Providers in Hempstead, 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 Dec 17, 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.