Innovative Massage Therapy, PC

Primary specialty

MechanotherapistTaxonomy code 172M00000X

License

003419-1 Issued in NY

Legal business name

INNOVATIVE MASSAGE THERAPY, PC

Practice address

814 Fulton St
Suite B
Farmingdale, NY 11735-3638

Phone

(516) 420-1927

NPI assigned

Apr 23, 2010

Organization subpart

No

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

Authorized official

Name

Peter Parenti, LMT

Title

President

Phone

(516) 420-1927

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1271980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271980800000",
    "number": "1972820462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 FULTON ST",
            "address_2": "SUITE B",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117353638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 FULTON ST",
            "address_2": "SUITE B",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117353638",
            "telephone_number": "516-420-1927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE MASSAGE THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-23",
        "last_updated": "2010-04-23",
        "status": "A",
        "authorized_official_last_name": "PARENTI",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-420-1927",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Mechanotherapist",
            "state": "NY",
            "license": "003419-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olga Ibragimova
• Carla Impert
• In Motion Physical Therapy of Ny PC
• Incorporated Village of Farmingdale
• Edward Infante
• Integrated Medical Interventional Diagnostics PC
• Rachelle Iphael-Alphonce
• Island Pain Specialist, PC
• Marly Israel
• IV League Medical PLLC

• Mechanotherapist in Farmingdale, NY
• Providers in Farmingdale, NY by specialty
• Mechanotherapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2010; 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.