Active NPI
Siah Davis
- Massage Therapist
- Deer Park, NY
National Provider Identifier
1801361886
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- Practice address
- 718 Long Island Ave
Deer Park, NY 11729-4230 - Phone
- (718) 554-1042
- NPI assigned
- Oct 5, 2018
- Last updated
- Nov 13, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | NU | Primary |
Addresses
Primary practice location
718 Long Island Ave
Deer Park, NY 11729-4230
Mailing address
718 Long Island Ave
Deer Park, NY 11729-4230
Phone (718) 554-1042
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542067200000",
"number": "1801361886",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "718 LONG ISLAND AVE",
"city": "DEER PARK",
"state": "NY",
"postal_code": "117294230",
"telephone_number": "718-554-1042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "718 LONG ISLAND AVE",
"city": "DEER PARK",
"state": "NY",
"postal_code": "117294230",
"telephone_number": "718-554-1042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "SIAH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-05",
"last_updated": "2018-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Deer Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.