Nicole Tache LMT, Inc

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

NICOLE TACHE LMT, INC

Practice address

20 Medford Ave Ste 107B
Patchogue, NY 11772-1220

Phone

(631) 902-9277

NPI assigned

Feb 16, 2021

Organization subpart

No

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

Authorized official

Name

Nicole Tache, LMTNPI 1588224950

Title

Owner

Phone

(631) 902-9277

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Nicole Tache, LMT

  • Massage Therapist
  • Patchogue, NY
  • NPI 1588224950
  NPD Authorized official

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

{
    "created_epoch": "1613433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613433600000",
    "number": "1770176216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 PETTY LN",
            "city": "MEDFORD",
            "state": "NY",
            "postal_code": "117632630",
            "telephone_number": "631-902-9277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 MEDFORD AVE STE 107B",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117721220",
            "telephone_number": "631-902-9277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICOLE TACHE LMT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-16",
        "last_updated": "2021-02-16",
        "certification_date": "2021-02-16",
        "status": "A",
        "authorized_official_last_name": "TACHE",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-902-9277",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• New York Lba Behavioral Consulting LLC
• New York Lba Behavioral Consulting LLC
• New York Lba Behavioral Consulting LLC
• Diana Newman
• Diane Nickerson, LPN
• Marcella Maria Nicotra, LCSW
• Jill Nielsen, NP
• Corinna Niski
• Megan Kathleen Noia, MS, NP, AGPCNP-BC
• Nooman Silat, MD, PC

• Massage Therapist in Patchogue, NY
• Providers in Patchogue, 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 Feb 16, 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.