Active NPI
Barbara Perez, LMT
- Massage Therapist
- Ronkonkoma, NY
National Provider Identifier
1740670561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 0282991
- Practice address
- 879 Johnson Ave
Ronkonkoma, NY 11779-6081 - Phone
- (631) 935-2182
- NPI assigned
- Feb 1, 2015
- Sex
- Female
- 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 | 0282991 | NY | Primary |
Addresses
Primary practice location
879 Johnson Ave
Ronkonkoma, NY 11779-6081
Mailing address
29 Charles St
Centereach, NY 11720-4043
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 |
|---|---|---|---|
| 0282991 | NY | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422748800000",
"number": "1740670561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29 CHARLES ST",
"city": "CENTEREACH",
"state": "NY",
"postal_code": "117204043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "879 JOHNSON AVE",
"city": "RONKONKOMA",
"state": "NY",
"postal_code": "117796081",
"telephone_number": "631-935-2182"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "BARBARA",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-02-01",
"last_updated": "2015-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NY",
"license": "0282991",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ronkonkoma, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.