Bonnie Taub, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

010745 Issued in NY

Practice address

640 Belle Terre Rd Ste J2
Port Jefferson, NY 11777-1936

Phone

(631) 476-3903

NPI assigned

Oct 14, 2006

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

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.

• Your Harmonized Health Inc

  • Health & Wellness Coach
  • Scottsdale, AZ
  • NPI 1144976903
  NPD

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

{
    "created_epoch": "1160784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851481279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 RADFORD RD",
            "city": "LAKE GROVE",
            "state": "NY",
            "postal_code": "117552610",
            "telephone_number": "631-585-1092",
            "fax_number": "631-738-7825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 BELLE TERRE RD STE J2",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "117771936",
            "telephone_number": "631-476-3903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAUB",
        "first_name": "BONNIE",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "010745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marina Takhalov
• Christopher Rene Tanchez, DO
• Regina M Tart, LMT
• Jennifer Tassell, RPH.
• Kim M. Tassinari, PH.D.
• Michael Kenneth Tax, LPN
• Lisa Taxman Goldfarb, PH.D.
• The Community Programs Center of L.I.
• The Way Back, Inc.
• Dinushan Thirumavalavan, D.O.

• Massage Therapist in Port Jefferson, NY
• Providers in Port Jefferson, 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 Jul 8, 2007; 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.