Individual provider Active NPI

Teresa Perez, MASSAGE THEREAPIST

  • Massage Therapist
  • Nanuet, NY
National Provider Identifier
1902510233
Registry record updated Jan 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
026929 Issued in NY
Practice address
300 E Route 59 Ste 112
Nanuet, NY 10954-2955
Phone
(845) 353-3267
NPI assigned
Jan 11, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2023

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 026929 NY Primary

Addresses

Primary practice location

300 E Route 59 Ste 112
Nanuet, NY 10954-2955

Mailing address

12 Chestnut St Apt B301
Suffern, NY 10901-5433
Phone (917) 396-8513

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
026929NYMDClinical Child & Adolescent Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hudson Valley Integrated Medicine PLLC. CurrentSince Jan 15, 2023 Accepting new patients
Healing Exprerience Massage Therapist Current Accepting new patients
Cohen & Garcha Podiatry, LLP PastSince Jan 15, 2023 Accepting new patients

Locations

300 E Route 59
#112
Nanuet, NY 10954
Phone (845) 215-5078

Organizations & group practices 3

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": "1673395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673395200000",
    "number": "1902510233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 CHESTNUT ST APT B301",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109015433",
            "telephone_number": "917-396-8513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E ROUTE 59 STE 112",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109542955",
            "telephone_number": "845-353-3267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "TERESA",
        "credential": "MASSAGE THEREAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-11",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "026929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nanuet, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2023; 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.