Individual provider Active NPI

Daniella Bivona, MASSAGE THERAPIST

  • Massage Therapist
  • Locust Valley, NY
National Provider Identifier
1780315101
Registry record updated Jun 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
024746 Issued in NY
Practice address
480 Forest Av
Lower Level, Rear
Locust Valley, NY 11560-1156
Phone
(516) 759-7702
NPI assigned
Jun 17, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X 024746 NY Primary

Addresses

Primary practice location

480 Forest Av
Lower Level, Rear
Locust Valley, NY 11560-1156

Mailing address

12 Summit PL
Glen Cove, NY 11542-2449
Phone (917) 526-4386

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL DANIELLABIVONA.COM Other

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
Maxine Cappel Mayreis DC Dacs PC Single Specialty PastSince Jun 21, 2022 Accepting new patients

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": "1655424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655424000000",
    "number": "1780315101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 SUMMIT PL",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115422449",
            "telephone_number": "917-526-4386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 FOREST AV",
            "address_2": "LOWER LEVEL, REAR",
            "city": "LOCUST VALLEY",
            "state": "NY",
            "postal_code": "115601156",
            "telephone_number": "516-759-7702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIVONA",
        "first_name": "DANIELLA",
        "credential": "MASSAGE THERAPIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-17",
        "last_updated": "2022-06-17",
        "certification_date": "2022-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "024746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "DANIELLABIVONA.COM",
            "affiliation": "N",
            "endpointDescription": "PERSONAL WEBSITE",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "PROFESSIONAL INFORMATION",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "PROFESSIONAL",
            "address_1": "480 Forest Av",
            "address_2": "Lower level, rear",
            "city": "Locust Valley",
            "state": "NY",
            "country_code": "US",
            "postal_code": "115601156",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Locust Valley, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2022; 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.