GINA OTIS (NPI# 1376183731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376183731 |
| Entity Type | Individual |
| Full Name | GINA OTIS |
| Credential | LMT |
| Practice Address |
196 N Belle Mead Rd Ste 3 East Setauket NY 11733-3477 |
| Mailing Address |
16 Impala Dr Centereach NY 11720-1505 |
| Practice Telephone | 6314459937 |
| Mailing Telephone | 6314459937 |
| Enumeration Date | 2020-01-13 |
| Last Update Date | 2020-01-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 010973 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
196 N BELLE MEAD RD STE 3 |
| City | EAST SETAUKET |
| State | NY |
| Zip Code | 11733-3477 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063033991 | Olivia Carlino | Registered Nurse | 28 Buckingham Meadow Road, Setauket, NY 11733 | 2020-05-01 |
| 1295392553 | Johnny Slade | Emergency Medicine | 11 Bridge Rd, East Setauket, NY 11733 | 2019-05-22 |
| 1275060345 | Donna M Sweeney | Specialist | 14 Research Way East, East Setauket, NY 11733 | 2017-05-18 |
| 1659806388 | Erin Kunz | Podiatrist | Stony Brook Surgical Associates, 37 Research Way, Setauket- East Setauket, NY 11733 | 2017-05-01 |
| 1285180521 | Allison M Pinard | Specialist/Technologist | 149 Old Field Road, Setauket, NY 11733 | 2016-08-28 |
| 1578915096 | Kristyn Matovich | Behavioral Analyst | 5 Kenwood Street, East Setauket, NY 11733 | 2016-07-08 |
| 1306258900 | Patricia M. Ferrara | Licensed Practical Nurse | 181 N Bellemeade Rd, Setauket, NY 11733 | 2014-05-30 |
| 1871922898 | Island Concierge Medical Services Pllc | Internal Medicine | 3400 Nesconset Hwy. Suite 103, East Setauket, NY 11733 | 2013-11-12 |
| 1669718219 | Sheila Marie Vergith | Physician Assistant | 17 Coraway Road, Setauket, NY 11733 | 2012-12-28 |
| 1285980474 | Jennifer L Monastero | Physical Therapist | 12 Technology Dr., Unit 2, E. Setauket, NY 11733 | 2012-07-25 |
| Find all providers in zip 11733 | ||||
| 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 |
|---|---|---|---|---|
| 1366040560 | Vincent Joseph Naselli | Massage Therapist | 1386 Ny-25a, East Setauket, NY 11733-2842 | 2020-10-12 |
| 1417561911 | Maricar Centeno | Massage Therapist | 37 Mayflower Ln, East Setauket, NY 11733-3303 | 2020-09-02 |
| 1437556669 | Touch of Health Ny Massage P.C. | Massage Therapist | 262c Main St, East Setauket, NY 11733-2952 | 2014-12-03 |
| 1144836610 | Jonathan Michael Wilson | Massage Therapist | 1386 Route 25a, East Setauket, NY 11733-2842 | 2020-09-21 |
| 1073126900 | Jacqueline Ann Grempel | Massage Therapist | 1386 Route 25a, East Setauket, NY 11733-2842 | 2020-08-29 |
| 1134768674 | Tracy Ann Julca | Massage Therapist | 6 S Jersey Ave, East Setauket, NY 11733-2021 | 2020-01-01 |
| 1013471085 | Michele Christine Deprima | Massage Therapist | 262c Main St, East Setauket, NY 11733-2952 | 2019-01-24 |
| 1528522505 | Brunilda A Ryan | Massage Therapist | 262c Main St, East Setauket, NY 11733-2952 | 2019-01-24 |
| 1043703895 | Joshua David Rajotte | Massage Therapist | 1386 Route 25a, East Setauket, NY 11733-2842 | 2018-06-06 |
| 1427562511 | Lauren Damiano | Massage Therapist | 1386 Route 25a, East Setauket, NY 11733-2842 | 2017-11-28 |
| Find all providers in EAST SETAUKET | ||||
| City | EAST SETAUKET |
| Zip Code | 11733 |
Please comment or provide details below to improve the information on GINA OTIS.
| 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.