Organization Active NPI

Steele Grace Wellness, LLC

  • Massage Therapist
  • Patchogue, NY
National Provider Identifier
1972331585
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
STEELE GRACE WELLNESS, LLC
Practice address
157 N Ocean Ave Ste 1
Patchogue, NY 11772-2016
Phone
(934) 200-7003
NPI assigned
Jul 24, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

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

Authorized official

Name
Ami L Gilbert, LMTNPI 1063258010
Title
Owner
Phone
(934) 200-7003

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

157 N Ocean Ave Ste 1
Patchogue, NY 11772-2016

Mailing address

458 Richmond Blvd Apt C
Ronkonkoma, NY 11779-3064
Phone (934) 200-7003

Other practice location 1

5225 Nesconset Hwy Unit 42
Port Jefferson Station, NY 11776-2053
Phone (631) 828-4976

National Provider Directory

National Provider Directory

Locations

5225 Nesconset Hwy
Ste 42
Port Jefferson Station, NY 11776
Phone (631) 828-4976

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1721779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721779200000",
    "number": "1972331585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "458 RICHMOND BLVD APT C",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117793064",
            "telephone_number": "934-200-7003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 N OCEAN AVE STE 1",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117722016",
            "telephone_number": "934-200-7003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5225 Nesconset Hwy Unit 42",
            "address_purpose": "LOCATION",
            "city": "Port Jefferson Station",
            "state": "NY",
            "postal_code": "117762053",
            "country_code": "US",
            "telephone_number": "631-828-4976",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "STEELE GRACE WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-24",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A",
        "authorized_official_last_name": "GILBERT",
        "authorized_official_first_name": "AMI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "934-200-7003",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "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 Jul 24, 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.