Active NPI
Ilana Slavin, MS. ED, LMT
- Massage Therapist
- Bellmore, NY
National Provider Identifier
1821670126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 028338
- Practice address
- 305 Bedford Ave Unit C
Bellmore, NY 11710-3595 - Phone
- (516) 510-2404
- NPI assigned
- Apr 26, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 | 028338 | NY | Primary |
Addresses
Primary practice location
305 Bedford Ave Unit C
Bellmore, NY 11710-3595
Mailing address
630 Harrison Ave
East Meadow, NY 11554-3643
Phone (516) 510-2404
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": "1619395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619395200000",
"number": "1821670126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "630 HARRISON AVE",
"city": "EAST MEADOW",
"state": "NY",
"postal_code": "115543643",
"telephone_number": "516-510-2404",
"fax_number": "631-824-9198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 BEDFORD AVE UNIT C",
"city": "BELLMORE",
"state": "NY",
"postal_code": "117103595",
"telephone_number": "516-510-2404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLAVIN",
"first_name": "ILANA",
"credential": "MS. ED, LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-04-26",
"last_updated": "2021-04-26",
"certification_date": "2021-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NY",
"license": "028338",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bellmore, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 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.