Individual provider Active NPI

Denise Deangelo, LMT

  • Massage Therapist
  • Hicksville, NY
National Provider Identifier
1770127706
Registry record updated Nov 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
027380 Issued in NY
Practice address
111 W Old Country Rd Ste 201
Hicksville, NY 11801-4036
Phone
(516) 395-9677
NPI assigned
Nov 2, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ReflexologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 173C00000X 027380 NY
Massage Therapist 225700000X 027380 NY Primary

Addresses

Primary practice location

111 W Old Country Rd Ste 201
Hicksville, NY 11801-4036

Mailing address

499 Chesman St
West Hempstead, NY 11552-1817

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Healing Sanctuary & Spa, Inc Massage Therapist Current Accepting new patients

Locations

111 W Old Country Rd
Ste 201
Hicksville, NY 11801
Phone (516) 395-9677

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1572652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572652800000",
    "number": "1770127706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "499 CHESMAN ST",
            "city": "WEST HEMPSTEAD",
            "state": "NY",
            "postal_code": "115521817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 W OLD COUNTRY RD STE 201",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118014036",
            "telephone_number": "516-395-9677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEANGELO",
        "first_name": "DENISE",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-02",
        "last_updated": "2019-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173C00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Reflexologist",
            "state": "NY",
            "license": "027380",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "027380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hicksville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2019; 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.