Tia Marie Rose Murphy, LMT

Individual provider Active NPI Massage Therapist · East Moriches, NY

NPI 1992584932 · NPPES record last updated Sep 28, 2023

Key facts

NPI
1992584932
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
032980-01 (NY)
Practice address
369 Montauk Hwy
East Moriches, NY 11940-1356
Phone
(631) 445-6361
NPI assigned
Sep 28, 2023
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
032980-01NYMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ocean Spa Long Island, LLC Current
since Oct 1, 2023
Accepting new patients

Locations

369 Montauk Hwy
East Moriches, NY 11940
Phone (631) 363-4580

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 032980-01 NY Yes

Addresses

Primary practice location

369 Montauk Hwy
East Moriches, NY 11940-1356

Mailing address

153 Hedges Rd
East Patchogue, NY 11772-5530
Phone (631) 627-0289

Other providers in East Moriches, NY

All providers in East Moriches, NY · Massage Therapist in New York

Sources for this page

Verify at the official NPI Registry.