Immerse LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

IMMERSE LLC

Practice address

730 Hebron Ave
Glastonbury, CT 06033-5016

Phone

(860) 410-4490

Fax

(860) 410-4492

NPI assigned

Nov 18, 2022

Organization subpart

Yes

Parent organization

DAMATO CHIROPRACTIC CENTER OF GLASTONBURY, LLCAs reported in NPPES

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

Authorized official

Name

Mary Damato

Title

Manager

Phone

(860) 410-4490

Specialties & licenses 1

Addresses

Other names 1

• Glastonbury Massage Center LLC Former legal business name

Part of

Damato Chiropractic Center of Glastonbury LLC

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Damato Chiropractic Center of Glastonbury, LLC

  • Chiropractor
  • Glastonbury, CT
  • NPI 1720481542
  NPPES parent name

Practitioners 2

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

• Elita Alfonso, LMT

  • Massage Therapist
  • Glastonbury, CT
  • NPI 1609489855

  Single Specialty

  NPD
• Kayleigh Heath, DC

  • Chiropractor
  • Glastonbury, CT
  • NPI 1780236125
  NPD (past)

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

{
    "created_epoch": "1668729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718582400000",
    "number": "1932818986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 HEBRON AVE",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060335016",
            "telephone_number": "860-410-4490",
            "fax_number": "860-410-4492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 HEBRON AVE",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060335016",
            "telephone_number": "860-410-4490",
            "fax_number": "860-410-4492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMMERSE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DAMATO CHIROPRACTIC CENTER OF GLASTONBURY, LLC",
        "enumeration_date": "2022-11-18",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A",
        "authorized_official_last_name": "DAMATO",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "860-410-4490"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Glastonbury Massage Center LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Kathleen Mildred Humpage, RN, NCBTMB
• Kaitlin Maria Iacomini, LCSW
• Ian R Cameron MD PC
• Awais Ibad, M.D
• Hiba Ibad
• Kenneth R Inchalik, MD
• Inner Peace Counseling
• Inner Wisdom Psychotherapy
• Innerlight Wellness Counseling PLLC
• Innovative Solutions Counseling, LLC

• Massage Therapist in Glastonbury, CT
• Providers in Glastonbury, CT by specialty
• Massage Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; 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.