Individual provider Active NPI

Evelyn Arboleda, LMT

  • Massage Therapist
  • Garden City South, NY
National Provider Identifier
1871078618
Registry record updated Sep 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
030503 Issued in NY
Practice address
5 Nassau Blvd
Garden City South, NY 11530
Phone
(516) 505-8360
NPI assigned
Sep 27, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2018

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 030503 NY Primary

Addresses

Primary practice location

5 Nassau Blvd
Garden City South, NY 11530

Mailing address

15327 73Rd Ave Apt 2C
Flushing, NY 11367-3050
Phone (347) 285-9713

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
030503NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kelian Family Chiropractic PC PastSince Sep 13, 2007 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": "1538006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538006400000",
    "number": "1871078618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15327 73RD AVE APT 2C",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113673050",
            "telephone_number": "347-285-9713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 NASSAU BLVD",
            "city": "GARDEN CITY SOUTH",
            "state": "NY",
            "postal_code": "11530",
            "telephone_number": "516-505-8360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARBOLEDA",
        "first_name": "EVELYN",
        "name_prefix": "Ms.",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-27",
        "last_updated": "2018-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "030503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City South, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2018; 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.