JESSICA MORALES (NPI# 1174090146) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174090146 |
| Entity Type | Individual |
| Full Name | JESSICA MORALES |
| Practice Address |
2103 Deer Park Ave Deer Park NY 11729-1317 |
| Mailing Address |
144 Dana Ave Mastic NY 11950-2511 |
| Practice Telephone | 6468067643 |
| Practice Fax Number | 6312749500 |
| Mailing Telephone | 6468067643 |
| Mailing Fax Number | 6312749500 |
| Enumeration Date | 2018-10-29 |
| Last Update Date | 2018-10-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 031094-1 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396306999 | Jessica Noemi Morales | Counselor | 155 N Michigan Ave Ste 500c, Chicago, IL 60601-7511 | 2019-06-25 |
| 1770042624 | Jessica Morales | Nurse's Aide | 13533 Harold Ave, Cleveland, OH 44135-1608 | 2019-03-19 |
| 1447626460 | Jessica Morales | Social Worker | 86 Luis Munoz Rivera St, Toa Alta, PR 00953 | 2015-08-13 |
| 1174944409 | Jessica G Morales | Pharmacist | 10 Carr 149, Manati, PR 00674 | 2014-01-06 |
| 1457687436 | Jessica Lyndale Morales | Marriage & Family Therapist | 5150 Candlewood St Ste 9b, Lakewood, CA 90712-1926 | 2009-10-26 |
| 1942436241 | Jessica K Morales | Social Worker | 28 Silver Brook Ln, Norwell, MA 02061-2445 | 2009-06-02 |
| 1689712382 | Jessica Eileen Morales | Physical Therapist | 2869 Sw 27th Ave, Miami, FL 33133-3701 | 2007-02-02 |
| 1053932889 | Jessica Rose Morales | Physical Therapist | 1025 Medical Arts Ave Ne, Albuquerque, NM 87102-2708 | 2020-05-04 |
| 1033747746 | Jessica Megan Morales | Behavior Technician | 5 Revere Dr Suite 120, Northbrook, IL 60062 | 2020-03-29 |
| 1053947481 | Jessica Natalie Morales | Behavior Technician | 16782 Von Karman Ave Ste 11, Irvine, CA 92606-2417 | 2020-03-17 |
| Street Address |
2103 DEER PARK AVE |
| City | DEER PARK |
| State | NY |
| Zip Code | 11729-1317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013917301 | Ron Mark | Radiology | 2103 Deer Park Ave, Deer Park, NY 11729-1319 | 2005-07-28 |
| 1225666530 | Deer Park Pt, Family Health Np and Chiropractic Pllc | Chiropractor | 2103 Deer Park Ave, Deer Park, NY 11729-1317 | 2020-03-31 |
| 1285264192 | Deer Park Medical, P.C. | Radiology | 2103 Deer Park Ave, Deer Park, NY 11729-1317 | 2020-01-20 |
| 1235799883 | East Meadow Pt Family Health Np Acupuncture and Chiropractic | Chiropractor | 2103 Deer Park Ave, Deer Park, NY 11729-1317 | 2019-06-17 |
| 1942726294 | Ruben Hector Saavedra | Physician Assistant | 2103 Deer Park Ave, Deer Park, NY 11729-1317 | 2017-08-18 |
| 1366977951 | Orthopaedics Spine and Sports Medicine, LLC | Durable Medical Equipment & Medical Supplies | 2103 Deer Park Ave, Deer Park, NY 11729-1317 | 2017-04-21 |
| 1184161465 | Hector Moises Murillo | Physician Assistant | 2103 Deer Park Ave, Deer Park, NY 11729-1317 | 2017-01-25 |
| 1508251612 | Dp Pt & Chiropractic, Pllc | Chiropractor | 2103 Deer Park Ave, Deer Park, NY 11729-1319 | 2015-04-06 |
| 1184028201 | Pavilion Radiology PC | Radiology | 2103 Deer Park Ave, Deer Park, NY 11729-1319 | 2014-10-17 |
| 1750782256 | Deer Park Physical Therapy & Chiropractic | Specialist | 2103 Deer Park Ave, Deer Park, NY 11729-1319 | 2014-09-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013561513 | Elyse Joy Wright | Specialist | 1014 Grand Boulevard Suite 5, Deer Park, NY 11729 | 2019-08-01 |
| 1568929131 | Corrine E. Hibbert | Case Manager/Care Coordinator | 140 Villa Avenue, Deer Park Ny, NY 11729 | 2019-03-01 |
| 1922525286 | Melissa Ramistella | Behavioral Analyst | 6 Angelica Street, Deer Park, NY 11729 | 2017-08-28 |
| 1609224153 | Corvitals, Inc. | Clinical Medical Laboratory | 590 Nichols Road, Suite 1, Deer Park, NY 11729 | 2016-05-25 |
| 1417375312 | Venel Maitre | Registered Nurse | 54 Duke St, Deer Park, NY 11729 | 2014-03-29 |
| 1578819157 | Koa K Robinson | Registered Nurse | 375 Carlls Place, 329, Deer Park, NY 11729 | 2012-08-01 |
| 1649532409 | Theresa L Lerro | Counselor | 1 Brandyine Drive, Deer Park, NY 11729 | 2012-06-07 |
| 1417218827 | Abilities Unlimited of N.y. | Durable Medical Equipment & Medical Supplies | 90 E. Jefryn Blvd., Deer Park, NY 11729 | 2012-06-01 |
| 1356600811 | Jennifer A. D'auria | Speech-Language Pathologist | 101 Lake Ave., Jfk Intermediate School, Deer Park, NY 11729 | 2012-05-03 |
| 1013280254 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 1900 The Arches Circle, Deer Park, NY 11729 | 2012-02-20 |
| Find all providers in zip 11729 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639797392 | Maribel Mora | Massage Therapist | 2011 Deer Park Ave, Deer Park, NY 11729-2733 | 2020-07-09 |
| 1396370250 | Jennifer L Mclaughlin | Massage Therapist | 4717 W Cross Cut Rd, Deer Park, WA 99006-9789 | 2020-03-10 |
| 1720637267 | Brandi Gore | Massage Therapist | 2612 W Denison Rd, Deer Park, WA 99006-9382 | 2019-09-07 |
| 1437707536 | Cody B Devore | Massage Therapist | 3210 W Oregon Rd, Deer Park, WA 99006-9622 | 2019-09-01 |
| 1740760198 | Brooke Abrianna Kathleen Hathaway | Massage Therapist | 706 E C St, Deer Park, WA 99006-6055 | 2018-08-15 |
| 1336628841 | Shayla Michelle Simonson | Massage Therapist | West 114 South Avenue, Apt 4, Deer Park, WA 99006 | 2018-08-07 |
| 1235656851 | Young Mi Lim | Massage Therapist | 2318 Center St Ste 105, Deer Park, TX 77536-4113 | 2017-08-24 |
| 1790140267 | Sarah Lynn Puthoff | Massage Therapist | 30717 N Perry Rd, Deer Park, WA 99006-8361 | 2015-12-28 |
| 1528439817 | Rachel Dewald | Massage Therapist | 42112 N Spring Water Ln, Deer Park, WA 99006-5126 | 2015-10-12 |
| 1679823488 | Denise Joy Korman | Massage Therapist | 63 Baldwin Path, Deer Park, NY 11729-1403 | 2012-09-19 |
| Find all providers in DEER PARK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.