Individual provider Active NPI

Charles V Acuesta, LMT

  • Massage Therapist
  • Flushing, NY
National Provider Identifier
1881846889
Registry record updated Oct 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
021689 Issued in NY
Practice address
3640 Main St
Flushing, NY 11354-6521
Phone
(718) 358-2135
Fax
(718) 886-4288
NPI assigned
Oct 21, 2008
Last updated
Oct 21, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2008

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 021689 NY Primary

Addresses

Primary practice location

3640 Main St
Flushing, NY 11354-6521

Mailing address

6433 98TH St Ste LL1
Rego Park, NY 11374-3321
Phone (718) 544-6677

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
021689NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Woodhaven Physical Therapy & Rehab Services PLLC Past Accepting new patients
Baburao Doddapaneni MD PC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224547200000",
    "number": "1881846889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6433 98TH ST STE LL1",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113743321",
            "telephone_number": "718-544-6677",
            "fax_number": "718-544-6688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3640 MAIN ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113546521",
            "telephone_number": "718-358-2135",
            "fax_number": "718-886-4288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACUESTA",
        "first_name": "CHARLES",
        "middle_name": "V",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-21",
        "last_updated": "2008-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "021689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2008; 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.