West Meadow Massage Therapy PC

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

WEST MEADOW MASSAGE THERAPY PC

Practice address

159 Route 25a
Miller Place, NY 11764-2458

Phone

(631) 862-5888

NPI assigned

Dec 6, 2024

Organization subpart

No

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

Authorized official

Name

Juan Lin

Title

Owner

Phone

(631) 703-1191

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1733443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733443200000",
    "number": "1992511679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 ROUTE 25A",
            "city": "MILLER PLACE",
            "state": "NY",
            "postal_code": "117642458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 ROUTE 25A",
            "city": "MILLER PLACE",
            "state": "NY",
            "postal_code": "117642458",
            "telephone_number": "631-862-5888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST MEADOW MASSAGE THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-06",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A",
        "authorized_official_last_name": "LIN",
        "authorized_official_first_name": "JUAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-703-1191"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurie J Wallace, RPA-C
• Sun Kyoung Wang
• Mark David Wasserman, MD
• David M Weber, LCSW
• Mark P Wejchert
• Kathleen Anne Wilk-Van Essendelft, LCSW
• Carin D. Winter, LCSW
• Christina Wirski, REGISTERED NURSE
• Stephanie Nicole Woltering, CRNA
• Lawrence K Wong, PHARMD

• Massage Therapist in Miller Place, NY
• Providers in Miller Place, NY by specialty
• Massage Therapist in New York

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