Individual provider Active NPI

Patrick Eastmond, LMT

  • Massage Therapist
  • New York, NY
National Provider Identifier
1932854635
Registry record updated Feb 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
025868-1 Issued in NY
Practice address
347 5TH Ave RM 909
New York, NY 10016-5012
Phone
(917) 689-3958
NPI assigned
Feb 21, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2022

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 025868-1 NY Primary

Addresses

Primary practice location

347 5TH Ave RM 909
New York, NY 10016-5012

Mailing address

347 5TH Ave RM 909
New York, NY 10016-5012
Phone (917) 689-3958

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL patrickeastmond.lmt@gmail.com

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
025868-1NYMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1645401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645401600000",
    "number": "1932854635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "347 5TH AVE RM 909",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100165012",
            "telephone_number": "917-689-3958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "347 5TH AVE RM 909",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100165012",
            "telephone_number": "917-689-3958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EASTMOND",
        "first_name": "PATRICK",
        "name_prefix": "Mr.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-02-21",
        "last_updated": "2022-02-21",
        "certification_date": "2022-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "025868-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "patrickeastmond.lmt@gmail.com",
            "affiliation": "N",
            "address_1": "347 5th Ave Rm 909",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100165012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2022; 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.