Organization Active NPI

Elev8 Wellness LLC

  • Massage Therapist
  • Patchogue, NY
National Provider Identifier
1972312742
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
ELEV8 WELLNESS LLC
Practice address
144 N Ocean Ave
Patchogue, NY 11772-2004
Phone
(631) 730-5617
NPI assigned
Jan 6, 2025
Last updated
Jan 6, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2025

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

Authorized official

Name
Raymond PellegrinoNPI 1710050125
Title
Member
Phone
(516) 319-3839

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X NU Primary

Addresses

Primary practice location

144 N Ocean Ave
Patchogue, NY 11772-2004

Mailing address

144 N Ocean Ave
Patchogue, NY 11772-2004
Phone (631) 730-5617

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1736121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736121600000",
    "number": "1972312742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 N OCEAN AVE",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117722004",
            "telephone_number": "631-730-5617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 N OCEAN AVE",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117722004",
            "telephone_number": "631-730-5617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEV8 WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-06",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A",
        "authorized_official_last_name": "PELLEGRINO",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "516-319-3839"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Patchogue, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; 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.