Lisa A Cooper, LMT
Individual provider Active NPI Massage Therapist · Centereach, NY
NPI 1952020273 · NPPES record last updated Aug 22, 2022
Key facts
- NPI
- 1952020273
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 007255-01 (NY)
- Practice address
- 4 Royal Oaks Dr
Centereach, NY 11720-3627 - Phone
- (631) 332-6755
- NPI assigned
- Aug 22, 2022
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007255-01 | NY | MD | Acupuncturist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 007255-01 | NY | Yes |
Addresses
Primary practice location
4 Royal Oaks Dr
Centereach, NY 11720-3627
Mailing address
4 Royal Oaks Dr
Centereach, NY 11720-3627
Phone (631) 332-6755
Other names
- Lisa Rummel
Other providers in Centereach, NY
- Eunice V Clarke
- Justina Coll
- Community Medical Care of Centereach, P.C.
- Carleen Conde
- Allison Connors-Wesch
- Jeanine Coppola
- Amy Lynn Copt
- Madison Taylor Corso
- Carmen R Cosano Cruz
- Cosmos Mental Health Counseling LLP
All providers in Centereach, NY · Massage Therapist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.