Active NPI
Larry Anderw Andreassen, LMT
- Massage Therapist
- New Paltz, NY
National Provider Identifier
1740416254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 007787
- Practice address
- 56 Yankee Folly Road
New Paltz, NY 12561 - Phone
- (845) 255-8813
- NPI assigned
- Jun 10, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 007787 | NY | Primary |
Addresses
Primary practice location
56 Yankee Folly Road
New Paltz, NY 12561
Mailing address
56 Yankee Folly Road
New Paltz, NY 12561
Phone (845) 255-8813
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
| License | State | Type | Specialty |
|---|---|---|---|
| 007787 | NY | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1244592000000",
"number": "1740416254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "56 YANKEE FOLLY ROAD",
"city": "NEW PALTZ",
"state": "NY",
"postal_code": "12561",
"telephone_number": "845-255-8813"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "56 YANKEE FOLLY ROAD",
"city": "NEW PALTZ",
"state": "NY",
"postal_code": "12561",
"telephone_number": "845-255-8813"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDREASSEN",
"first_name": "LARRY",
"middle_name": "ANDERW",
"name_prefix": "Mr.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-06-10",
"last_updated": "2009-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NY",
"license": "007787",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Paltz, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.