Individual provider Active NPI

Diane Lynn Rosati, LMT

  • Massage Therapist
  • Smithtown, NY
National Provider Identifier
1720606114
Registry record updated Jul 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
026464 Issued in NY
Practice address
100 Terry Rd
Smithtown, NY 11787-3811
Phone
(631) 979-7400
NPI assigned
Jul 11, 2020
Last updated
Jul 13, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 026464 NY Primary

Addresses

Primary practice location

100 Terry Rd
Smithtown, NY 11787-3811

Mailing address

44 Durhamoc LN
North Babylon, NY 11703-3008
Phone (631) 488-7812

Other names 1

  • Ms. Diane Lynn Hein Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
026464NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
E.Lila Augoustiniatos, MD, PC CurrentSince Jul 19, 2020 Accepting new patients
Long Island Integrative Functional Medicine, PC PastSince Jul 19, 2020 Accepting new patients

Locations

100 Terry Rd
Smithtown, NY 11787
Phone (631) 979-7301

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1594425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594598400000",
    "number": "1720606114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 DURHAMOC LN",
            "city": "NORTH BABYLON",
            "state": "NY",
            "postal_code": "117033008",
            "telephone_number": "631-488-7812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 TERRY RD",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117873811",
            "telephone_number": "631-979-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSATI",
        "first_name": "DIANE",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-11",
        "last_updated": "2020-07-13",
        "certification_date": "2020-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "026464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANE",
            "last_name": "HEIN",
            "middle_name": "LYNN",
            "prefix": "MS.",
            "credential": "LMT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Smithtown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.