Active NPI
Cori Kresge
- Massage Therapist
- Miller Place, NY
National Provider Identifier
1831833573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 032941
- Practice address
- 464 Route 25a
Miller Place, NY 11764-2514 - Phone
- (631) 680-9458
- NPI assigned
- Apr 27, 2022
- 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 | 032941 | NY | Primary |
Addresses
Primary practice location
464 Route 25a
Miller Place, NY 11764-2514
Mailing address
464 Route 25a
Miller Place, NY 11764-2514
Phone (631) 680-9458
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 032941 | NY | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fingers From Heaven Inc | Massage Therapist | Current | Accepting new patients |
Locations
464 Route 25A
Miller Place, NY 11764
Phone (631) 680-9458
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": "1651017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651017600000",
"number": "1831833573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "464 ROUTE 25A",
"city": "MILLER PLACE",
"state": "NY",
"postal_code": "117642514",
"telephone_number": "631-680-9458"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "464 ROUTE 25A",
"city": "MILLER PLACE",
"state": "NY",
"postal_code": "117642514",
"telephone_number": "631-680-9458"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRESGE",
"first_name": "CORI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-04-27",
"last_updated": "2022-04-27",
"certification_date": "2022-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NY",
"license": "032941",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miller Place, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.