Body Balance Massage Therapy

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

27018013 Issued in NY

Legal business name

BODY BALANCE MASSAGE THERAPY

Practice address

850 7TH Ave
Suite 606
New York, NY 10019-5230

Phone

(718) 683-1905

NPI assigned

Mar 11, 2015

Organization subpart

No

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

Authorized official

Name

Miss Nicole Marie Kennelly, LMTNPI 1134512114

Title

Owner

Phone

(718) 683-1905

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nicole Marie Kennelly, LMT

  • Massage Therapist
  • Greenport, NY
  • NPI 1134512114
  NPD (past) Authorized official

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

{
    "created_epoch": "1426032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426032000000",
    "number": "1922491125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1822 ASTORIA PARK S",
            "address_2": "2ND FLOOR",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111023444",
            "telephone_number": "718-683-1905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 7TH AVE",
            "address_2": "SUITE 606",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100195230",
            "telephone_number": "718-683-1905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY BALANCE MASSAGE THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-11",
        "last_updated": "2015-03-11",
        "status": "A",
        "authorized_official_last_name": "KENNELLY",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-683-1905",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "27018013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kate Bodner
• Richard H Bodner, M. D.
• Staci M Bodner, M.D.
• Body Alignment Physical Therapy PC
• Body and Qi Integrated Therapies, LLC
• Body Contouring Surgical and Medical Associates, PLLC
• Body Craft Massage Therapy, PLLC
• Body Guards Natural Weight Loss, LLC
• Body Harmony Physical Therapy, PLLC
• Body in Balance Chiropractic, LLC

• Massage Therapist in New York, NY
• Providers in New York, 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 Mar 11, 2015; 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.