Katheryn Reiss-Tolliver, MS

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

18KT00297600 Issued in NJ

Practice address

32 Coleman Ter
Tenafly, NJ 07670-2620

Phone

(201) 724-8036

NPI assigned

Mar 28, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1585353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585440000000",
    "number": "1750919577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 KNICKERBOCKER RD APT 1",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076312153",
            "telephone_number": "201-724-8036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 COLEMAN TER",
            "city": "TENAFLY",
            "state": "NJ",
            "postal_code": "076702620",
            "telephone_number": "201-724-8036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REISS-TOLLIVER",
        "first_name": "KATHERYN",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-28",
        "last_updated": "2020-03-29",
        "certification_date": "2020-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Y00000X",
            "taxonomy_group": "",
            "desc": "Clinical Exercise Physiologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NJ",
            "license": "18KT00297600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Stephanie Denise Rivera-Segarra, M.D.
• Rochelle Glatter LCSW, LLC

• Massage Therapist in Tenafly, NJ
• Providers in Tenafly, NJ by specialty
• Massage Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.