Rebalance Massage, PC

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

REBALANCE MASSAGE, PC

Practice address

585 Stewart Ave Ste 408
Garden City, NY 11530-4701

Phone

(516) 582-0088

NPI assigned

Jan 26, 2021

Organization subpart

No

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

Authorized official

Name

Virginia Joudeh M, LMT

Title

License Massage Therapist

Phone

(516) 582-0088

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Virginia M Joudeh, LMT

  • Massage Therapist
  • Garden City, NY
  • NPI 1437498177
  NPD

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

{
    "created_epoch": "1611619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611619200000",
    "number": "1740870476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 CLINTON RD",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115301922",
            "telephone_number": "517-582-0088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "585 STEWART AVE STE 408",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115304701",
            "telephone_number": "516-582-0088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBALANCE MASSAGE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-26",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A",
        "authorized_official_last_name": "M",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_middle_name": "JOUDEH",
        "authorized_official_title_or_position": "LICENSE MASSAGE THERAPIST",
        "authorized_official_telephone_number": "516-582-0088",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Massage Therapist in Garden City, NY
• Providers in Garden City, 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 Jan 26, 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.