Corina Guachichullca, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

026034 Issued in NY

Practice address

755 Montauk Hwy Ste 1
Oakdale, NY 11769-1801

Phone

(631) 319-9283

NPI assigned

Jan 16, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Catch the Wave Family Health NP PLLC

  • Family Nurse Practitioner
  • Oakdale, NY
  • NPI 1942986807

  Single Specialty

  NPD
• Bayport Therapeutic Massage PLLC

  • Massage Therapist
  • Bayport, NY
  • NPI 1174387534

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1705363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1851152045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 MONTAUK HWY STE 1",
            "city": "OAKDALE",
            "state": "NY",
            "postal_code": "117691801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 MONTAUK HWY STE 1",
            "city": "OAKDALE",
            "state": "NY",
            "postal_code": "117691801",
            "telephone_number": "631-319-9283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUACHICHULLCA",
        "first_name": "CORINA",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-16",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "026034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexa Nicole Glander, M.S., BCBA, LBA
• Vincent Glasser, LMT
• Eileen Golon
• Aimee Gosse
• Amy Susan Gribbin, BS, CCE, CBC, LPN
• Gina Marie Guschel, PA-C
• Kierstan Ruth Hall, PSY.D.
• David R Hescheles, PSY.D.
• Christine K Himpler, RN
• Nancy Theresa Houghtalen, MA CCC SLP

• Massage Therapist in Oakdale, NY
• Providers in Oakdale, NY by specialty
• Massage Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; 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.