Individual provider Active NPI

Tara Cueter

  • Massage Therapist
  • Bethpage, NY
National Provider Identifier
1851977136
Registry record updated Mar 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
023190 Issued in NY
Practice address
104 Benkert St
Bethpage, NY 11714-3002
Phone
(516) 490-9085
NPI assigned
Mar 18, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 023190 NY Primary

Addresses

Primary practice location

104 Benkert St
Bethpage, NY 11714-3002

Mailing address

149 Sullivan Ave
Farmingdale, NY 11735-5022
Phone (516) 242-8682

Other practice location 1

149 Sullivan Ave
Farmingdale, NY 11735-5022
Phone (516) 242-8682

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

LicenseStateTypeSpecialty
023190NYMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Focus Acupuncture and Physical Therapy P.C. PastSince Mar 21, 2021 Accepting new patients

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": "1616025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616025600000",
    "number": "1851977136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 SULLIVAN AVE",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117355022",
            "telephone_number": "516-242-8682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 BENKERT ST",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117143002",
            "telephone_number": "516-490-9085"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "149 Sullivan Ave",
            "address_purpose": "LOCATION",
            "city": "Farmingdale",
            "state": "NY",
            "postal_code": "117355022",
            "country_code": "US",
            "telephone_number": "516-242-8682",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CUETER",
        "first_name": "TARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-18",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "023190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethpage, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.

Verify at the official NPI Registry.