LISA BALLONI (NPI# 1972169308) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972169308 |
| Entity Type | Individual |
| Full Name | LISA BALLONI |
| Credential | LMT |
| Practice Address |
1041 Route 112 Port Jefferson Station NY 11776-6000 |
| Mailing Address |
66 Rialto Way Patchogue NY 11772-3566 |
| Practice Telephone | 6318284545 |
| Enumeration Date | 2019-05-10 |
| Last Update Date | 2019-05-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 015698-1 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1041 ROUTE 112 |
| City | PORT JEFFERSON STATION |
| State | NY |
| Zip Code | 11776-6000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841374352 | Gregory N. Bonasera | Chiropractor | 1041 Route 112, Port Jefferson Station, NY 11776-6000 | 2006-10-24 |
| 1073002473 | Community Medical Wellness PC | Pain Medicine | 1041 Route 112, Port Jefferson Station, NY 11776-6000 | 2018-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205304219 | Melissa E Germano | Acupuncturist | 5225 Nesconset Highway Rte 347, Davis Professional Park Building 1 Suite 1, Port Jefferson Station, NY 11776 | 2018-11-07 |
| 1366962185 | Michael Louis Scicchitano Sr. | Physical Therapist | 3 Colgate Street, Port Jefferson Station, NY 11776 | 2017-06-22 |
| 1063969517 | Dana Adamkiewicz | Acupuncturist | 432 North Bicycle Path, Port Jefferson Station, NY 11776 | 2016-09-01 |
| 1538531819 | Jacqueline Rambo | Specialist | 5225 Nesconset Highway Suite 30, Port Jefferson Station, NY 11776 | 2015-10-26 |
| 1821474297 | Michael Leuci | Social Worker | 3 Premier Court, Port Jefferson Station, NY 11776 | 2015-08-07 |
| 1578978078 | Carol A. Palmer I | Acupuncturist | 34 Champlain St, Port Jefferson Station, NY 11776 | 2014-06-24 |
| 1659783371 | Janette M Sperandeo | Nurse Practitioner | 5 Roosevelt Avenue, Port Jefferson Station, NY 11776 | 2014-05-29 |
| 1578973079 | James Buchrieser | Specialist | 525 Nesconset Highway Suite 30, Port Jefferson Station, NY 11776 | 2014-05-06 |
| 1871923227 | Duran Thomas Murphy | Licensed Practical Nurse | 8 Carolyn Road, Port Jefferson Station, NY 11776 | 2013-11-22 |
| 1699104562 | Julio Genao | Massage Therapist | 213 Jayne Blvd, Portjefferson Station, NY 11776 | 2013-11-01 |
| Find all providers in zip 11776 | ||||
| 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 |
|---|---|---|---|---|
| 1104300797 | Anna Noakes | Massage Therapist | 11 Medical Drive Suite B, Port Jefferson Station, NY 11776-1177 | 2018-09-19 |
| 1134633225 | David Kessler | Massage Therapist | 64 John St, Port Jefferson Station, NY 11776-4015 | 2017-11-28 |
| 1235669425 | Antoinette Florio Colon | Massage Therapist | 11 Medical Dr Ste B, Port Jefferson Station, NY 11776-1589 | 2017-06-19 |
| 1194141135 | Knead To Heal Therapeutic Massage | Massage Therapist | 8 Cayla Ln, Port Jefferson Station, NY 11776-4257 | 2014-03-14 |
| 1346676772 | Brian Alan Hoglund | Massage Therapist | 101 Route 112, Port Jefferson Station, NY 11776-1027 | 2013-09-17 |
| 1083229637 | Marie Scalogna-watkinson | Massage Therapist | 53 Morton St, Port Jefferson Station, NY 11776-3848 | 2020-09-10 |
| 1073178471 | Margaret Anastasia Santosus | Massage Therapist | 11 Medical Dr Ste B, Port Jefferson Station, NY 11776-1589 | 2019-05-01 |
| 1841797206 | Tiffany Lacy | Massage Therapist | 11 Medical Dr Ste B, Port Jefferson Station, NY 11776-1589 | 2018-04-11 |
| 1295230175 | Raquel Nugent | Massage Therapist | 11 Medical Dr Ste B, Port Jefferson Station, NY 11776-1589 | 2018-03-24 |
| 1073017380 | Catherine Caputo Caputo | Massage Therapist | 11 Medical Dr Ste B, Port Jefferson Station, NY 11776-1589 | 2018-03-21 |
| Find all providers in PORT JEFFERSON STATION | ||||
| City | PORT JEFFERSON STATION |
| Zip Code | 11776 |
Please comment or provide details below to improve the information on LISA BALLONI.
| 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.