FUNCTIONAL MASSAGE THERAPY PC (NPI# 1609261593) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609261593 |
| Entity Type | Organization |
| Organization Name | FUNCTIONAL MASSAGE THERAPY PC |
| Practice Address |
755 Waverly Ave Suite #206 Holtsville NY 11742-1190 |
| Practice Telephone | 6317308300 |
| Mailing Telephone | 6317308300 |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2015-03-30 |
| Authorized Official Name | SHERRY COLE (DIRECTOR/LICENSED MASSAGE THERAPIST) |
| Authorized Official Telephone | 6317308300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 018019 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
755 WAVERLY AVE SUITE #206 |
| City | HOLTSVILLE |
| State | NY |
| Zip Code | 11742-1190 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861573636 | Yvonne Marie Pratt | Social Worker | 755 Waverly Ave, Holtsville, NY 11742-1190 | 2006-10-18 |
| 1114271228 | Amie Markowitz | Social Worker | 755 Waverly Ave, Suite 303, Holtsville, NY 11742-1190 | 2012-10-29 |
| 1033419171 | Alan Carl Tener | Psychologist | 755 Waverly Ave, Suite 303, Holtsville, NY 11742-1190 | 2010-10-22 |
| 1720210131 | Rachael Eve Hall | Social Worker | 755 Waverly Ave, Suite 204 A, Holtsville, NY 11742-1190 | 2009-08-18 |
| 1861624595 | Allison Southard | Marriage & Family Therapist | 755 Waverly Ave, Suite 312, Holtsville, NY 11742-1190 | 2009-08-13 |
| 1831375534 | Panna Bhatt | Social Worker | 755 Waverly Ave, Suite 205a, Holtsville, NY 11742-1190 | 2008-01-14 |
| 1225217516 | Mind & Body Theraputics,inc. | Community/Behavioral Health | 755 Waverly Ave, Holtsville, NY 11742-1190 | 2007-11-02 |
| 1073792362 | Creative Health Unlimited | Community/Behavioral Health | 755 Waverly Ave, Holtsville, NY 11742-1190 | 2007-11-02 |
| 1174731368 | James Lamar Durand | Health Maintenance Organization | 755 Waverly Ave, Suite 402, Holtsville, NY 11742-1190 | 2007-05-19 |
| 1568519759 | Lisa Ann Brandi | Social Worker | 755 Waverly Ave, Ste 204a, Holtsville, NY 11742-1190 | 2007-01-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659907210 | Brittany Ann Rachuta | Licensed Practical Nurse | 11 Spiral Rd, Holtsville, NY 11742 | 2020-03-16 |
| 1679075089 | Gertha Therese Benoit-hollis | Nurse Practitioner | 5 Fisk Rd, Holtsville, NY 11742 | 2018-03-01 |
| 1437665031 | Amanda Namorato | Speech-Language Pathologist | 1111 Waverly Ave, Holtsville, NY 11742 | 2017-12-18 |
| 1003363656 | Dana Ann Vincent | Registered Nurse | 355 Plad Boulevard, Holtsville, NY 11742 | 2016-09-01 |
| 1992178792 | Fazila Duman | Social Worker | 98 5th Ave, Holtsville, NY 11742 | 2015-11-03 |
| 1659767648 | Suzana X Sula | Licensed Practical Nurse | 263 Blue Point, Long Island, NY 11742 | 2015-04-07 |
| 1366787707 | Rodolfo Diaz Deoquino Sr. | General Practice | 27 Summerfield Drive, Holtsville, NY 11742 | 2012-12-11 |
| 1154441004 | Barbara Ann De Feo | Nurse Practitioner | 107 West Main St., East Islip, NY 11742 | 2007-03-31 |
| 1013051341 | Maryhaven Center of Hope Inc. | Intermediate Care Facility, Mentally Retarded | 298 Long Island Avenue, Holtsville, NY 11742 | 2007-02-19 |
| 1093861650 | Jessica Arnoux Speech Therapy | Local Education Agency (LEA) | 18 Glen Hollow Drive F5, Holtsville, NY 11742 | 2007-01-26 |
| Find all providers in zip 11742 | ||||
| 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 |
|---|---|---|---|---|
| 1356956056 | All Island Acupuncture and Massage P.C. | Massage Therapist | 1018 Waverly Ave Unit 13, Holtsville, NY 11742-1128 | 2020-09-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548861354 | Stephen Quinn | Massage Therapist | 72 Steuben Rd, Garrison, NY 10524-7417 | 2020-11-06 |
| 1750982567 | Moises Payero | Massage Therapist | 407 Beach 20th St Apt 3b, Far Rockaway, NY 11691-3638 | 2020-11-06 |
| 1447851589 | Emily Nicole Bagnasco | Massage Therapist | 827 S 5th St, Lindenhurst, NY 11757-5625 | 2020-11-04 |
| 1053912162 | Chanel Marie Poole | Massage Therapist | 1234 Abbott Rd Ste 230, Lackawanna, NY 14218-1946 | 2020-11-04 |
| 1144821562 | Deping Song | Massage Therapist | 4002 Bowne St, #228, Flushing, NY 11354-6142 | 2020-11-03 |
| 1881295400 | Yoshiko Yamamoto | Massage Therapist | 4914 43rd Ave Apt 3, Woodside, NY 11377-4598 | 2020-11-02 |
| 1780285254 | Devante Quareed Thompson | Massage Therapist | 8944 Metropolitan Ave # 89-44, Rego Park, NY 11374-5331 | 2020-11-02 |
| 1396345062 | Amy Nadine Baker | Massage Therapist | 611 Broadway Rm 814, New York, NY 10012-0032 | 2020-10-30 |
| 1972102655 | Maria Carmen Tapia | Massage Therapist | 14749 72nd Dr Apt 3d, Flushing, NY 11367-2533 | 2020-10-22 |
| 1346849262 | Reddy for Acupuncture | Massage Therapist | 2807 Merrick Rd, Bellmore, NY 11710-5724 | 2020-10-21 |
| Find all providers with the same taxonomy | ||||
| City | HOLTSVILLE |
| Zip Code | 11742 |
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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.