Lisa Nicole Fox, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

023315 Issued in NY

Practice address

275 Longfellow Ave
North Babylon, NY 11703-4700

Phone

(912) 689-2144

NPI assigned

Mar 31, 2021

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

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

{
    "created_epoch": "1617148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617148800000",
    "number": "1730767716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 LONGFELLOW AVE",
            "city": "NORTH BABYLON",
            "state": "NY",
            "postal_code": "117034700",
            "telephone_number": "912-689-2144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 LONGFELLOW AVE",
            "city": "NORTH BABYLON",
            "state": "NY",
            "postal_code": "117034700",
            "telephone_number": "912-689-2144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOX",
        "first_name": "LISA NICOLE",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-31",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "023315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Pathofwellness.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Email",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "275 Longfellow Ave",
            "city": "North Babylon",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117034700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Devyn Fleischhacker, DDS
• Peter Fong, O.D.
• Julia F Foran, LCAT
• Lauren Ford, R.PH.
• Pablo Simeon Limon Fortaleza
• Denise Francois, LCSW
• Laura Marie Frank, M.S, CCC-SLP, TSSLD
• Richard Stuart Freedman, DDS
• Karen Baxter Furno, P.T.
• Jessica Galati

• Massage Therapist in North Babylon, NY
• Providers in North Babylon, 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 Mar 31, 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.