Katherine Ilharregui, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

030298 Issued in NY

Practice address

2805 Veterans Memorial Hwy Ste 8
Ronkonkoma, NY 11779-7680

Phone

(631) 738-8440

NPI assigned

Jul 10, 2019

Sex

Female

Sole proprietor

No

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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bohemia Medical, PC

  • General Practice Physician
  • Ronkonkoma, NY
  • NPI 1063440659
  NPD (past)

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

{
    "created_epoch": "1562716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737072000000",
    "number": "1750933859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 157",
            "city": "BOHEMIA",
            "state": "NY",
            "postal_code": "117160157",
            "telephone_number": "631-738-8440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2805 VETERANS MEMORIAL HWY STE 8",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117797680",
            "telephone_number": "631-738-8440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ILHARREGUI",
        "first_name": "KATHERINE",
        "name_prefix": "Mrs.",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-10",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "007668",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "030298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• House Medical PLLC
• Michael T Hushin, R.PH.
• Mariam Abdelazim Ibrahim, PT
• Youssef Ibrahim
• ICU Optical Inc.
• Kayla Ilowite
• Peter J Imperato, DPT
• Julie Imwalle, M.S. ECSE ECE CSE CE
• In Balance Acu Corp
• Infinity Pharma Group L.L.C.

• Massage Therapist in Ronkonkoma, NY
• Providers in Ronkonkoma, 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 17, 2025; 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.