NPIMap

Organization Active NPI

Demar13 LLC

Doing business as Elements Therapeutic Massage

  • Massage Therapist
  • Smithtown, NY
National Provider Identifier
1760706188
Registry record updated Mar 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
DEMAR13 LLC
Doing business as
Elements Therapeutic Massage
Practice address
42 E Main St
Smithtown, NY 11787-2804
Phone
(631) 406-6611
Fax
(631) 406-6610
NPI assigned
Mar 15, 2010
Last updated
Mar 15, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2010

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

Authorized official

Name
Ryan Demarco
Title
Owner
Phone
(631) 406-6611

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X NU Primary

Addresses

Primary practice location

42 E Main St
Smithtown, NY 11787-2804

Mailing address

42 E Main St
Smithtown, NY 11787-2804
Phone (631) 406-6611

Other names 1

  • Elements Therapeutic Massage Doing business as

National Provider Directory

National Provider Directory

Locations

42 E Main St
Smithtown, NY 11787
Phone (631) 406-6611

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1268611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268611200000",
    "number": "1760706188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 E MAIN ST",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117872804",
            "telephone_number": "631-406-6611",
            "fax_number": "631-406-6610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 E MAIN ST",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117872804",
            "telephone_number": "631-406-6611",
            "fax_number": "631-406-6610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEMAR13 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-15",
        "last_updated": "2010-03-15",
        "status": "A",
        "authorized_official_last_name": "DEMARCO",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-406-6611"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elements Therapeutic Massage",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Smithtown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2010; 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.