Organization Active NPI

Harbor Wellness Spa & Bodyworks ,LTD.

  • Massage Therapist
  • Copiague, NY
National Provider Identifier
1801581012
Registry record updated Apr 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
HARBOR WELLNESS SPA & BODYWORKS ,LTD.
Practice address
57 Montauk Hwy
Copiague, NY 11726-4924
Phone
(631) 575-7905
NPI assigned
Apr 5, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2023

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

Authorized official

Name
Dianne Garguilo, LMTNPI 1699494393
Title
Owner
Phone
(631) 568-8335

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

57 Montauk Hwy
Copiague, NY 11726-4924

Mailing address

57 Montauk Hwy
Copiague, NY 11726-4924
Phone (631) 575-7905

National Provider Directory

National Provider Directory

Locations

57 Montauk Hwy
Copiague, NY 11726
Phone (631) 365-0154

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1680652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680652800000",
    "number": "1801581012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 MONTAUK HWY",
            "city": "COPIAGUE",
            "state": "NY",
            "postal_code": "117264924",
            "telephone_number": "631-575-7905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 MONTAUK HWY",
            "city": "COPIAGUE",
            "state": "NY",
            "postal_code": "117264924",
            "telephone_number": "631-575-7905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBOR WELLNESS SPA & BODYWORKS ,LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-05",
        "last_updated": "2023-04-05",
        "certification_date": "2023-04-05",
        "status": "A",
        "authorized_official_last_name": "GARGUILO",
        "authorized_official_first_name": "DIANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-568-8335",
        "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": []
}

Other providers in Copiague, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2023; 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.