MONTGOMERY MASSAGE THERAPY GROUP, P.C. (NPI# 1699970236) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699970236 |
| Entity Type | Organization |
| Organization Name | MONTGOMERY MASSAGE THERAPY GROUP, P.C. |
| Practice Address |
201 Ward St Suite F. Montgomery NY 12549-1248 |
| Mailing Address |
79 W Corbett Rd Montgomery NY 12549-1923 |
| Practice Telephone | 8454572729 |
| Practice Fax Number | 8454578159 |
| Mailing Telephone | 8454572729 |
| Mailing Fax Number | 8454578159 |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. ANGELA MARIE PATRUNO (OFFICER) |
| Authorized Official Telephone | 8454572729 |
| Authorized Official Credential | LMT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 020663 | NY | Other Service Providers |
| Street Address |
201 WARD ST SUITE F. |
| City | MONTGOMERY |
| State | NY |
| Zip Code | 12549-1248 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073685673 | Stephen Anthony Brune | Chiropractor | 201 Ward St, Suite F, Montgomery, NY 12549-1248 | 2006-11-15 |
| 1477718690 | Keith M. Bell | Dentist | 201 Ward St, Suite H, Montgomery, NY 12549-1248 | 2008-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265859862 | Pierre Janvier | Licensed Practical Nurse | 11 Pathway, Montgomery, NY 12549 | 2014-03-21 |
| 1932470796 | Patricia Luongo | Registered Nurse | 946 Route 17k, Berea Elementary School, Montgomery, NY 12549 | 2012-01-25 |
| 1124398730 | Gail E Nozell | Speech-Language Pathologist | 141 Union Street, Valley Central School District, Montgomery, NY 12549 | 2012-01-12 |
| 1437450731 | Phyllis Arlene Montanari | Music Therapist | 228 State Route 416, Montgomery, NY 12549 | 2010-11-03 |
| 1831416486 | Diane Leung-diliberto | Pharmacist | 105-a Ward Street, Montgomery, NY 12549 | 2010-04-22 |
| 1477792760 | Kelly Cole | Occupational Therapist | 31 Fernich Ct, Montgomery, NY 12549 | 2009-02-11 |
| 1710123898 | Simone Althea Ercoline | Speech-Language Pathologist | Valley Central School District, 944 State Route 17k, Montgomery, NY 12549 | 2008-12-19 |
| 1780836130 | Janice Mcgrath | Speech-Language Pathologist | 215 Freida Street, Montgomery, NY 12549 | 2008-10-16 |
| 1720239643 | Gregory Bicknell | Nurse Practitioner | 940 Route 17k, Montgomery, NY 12549 | 2008-10-09 |
| 1023271764 | Kole Stewart Miller | Dentist | 2 Didio Ln, Montgomery, NY 12549 | 2008-07-02 |
| Find all providers in zip 12549 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922561745 | Kenneth Wayne Roach | Specialist | 15650 Walden Rd Apt 4302, Montgomery, TX 77356-1780 | 2019-04-09 |
| 1013428580 | Larry Dell Turner | Specialist | 600 S Court St Ste 312, Montgomery, AL 36104-4106 | 2017-10-23 |
| 1881042760 | Hairzone | Specialist | 3009 Mcgehee Rd, B, Montgomery, AL 36111-2202 | 2016-06-01 |
| 1043675051 | Robert Wareham | Specialist | 105 Forest Wind Cir, Montgomery, TX 77316-6846 | 2015-12-17 |
| 1497129159 | Annail Reese Fort | Specialist | 3009b Mcgehee Rd, Montgomery, AL 36111-2202 | 2015-11-18 |
| 1699155721 | Maryethel Nutt | Specialist | 53 Quarry Rd, Montgomery, NY 12549-2524 | 2015-06-03 |
| 1225421274 | Next Level Healthcare Consultants LLC | Specialist | 47 S Wind Dr, Montgomery, TX 77356-8232 | 2015-03-16 |
| 1710388483 | Yolanda Flynn | Specialist | 3957 Kimberly St, Montgomery, AL 36116-4515 | 2014-09-11 |
| 1366864647 | Rushmore Surgical Assistants | Specialist | 10906 Scenic Dr, Montgomery, TX 77356-5795 | 2014-01-06 |
| 1538503305 | Committed To Assisting Professionals | Specialist | 12002 Brightwood Dr, Montgomery, TX 77356-7920 | 2013-04-24 |
| Find all providers in MONTGOMERY | ||||
| City | MONTGOMERY |
| Zip Code | 12549 |
Please comment or provide details below to improve the information on MONTGOMERY MASSAGE THERAPY GROUP, P.C..
| 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.