MISS KATHERINE CASSIDY (NPI# 1992263412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992263412 |
| Entity Type | Individual |
| Full Name | MISS KATHERINE CASSIDY |
| Credential | LMT |
| Practice Address |
300 Southern Blvd Nesconset NY 11767-2709 |
| Practice Telephone | 6317647212 |
| Mailing Telephone | 6317647212 |
| Enumeration Date | 2019-03-04 |
| Last Update Date | 2019-03-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 017850 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023591245 | Katherine Leigh Cassidy | Nurse Practitioner | 2001 Fieldstown Rd, Gardendale, AL 35071-4628 | 2018-09-13 |
| 1043247596 | Katherine A Cassidy | Physical Therapist | 1199 Main St, Hamilton, OH 45013-1636 | 2006-06-27 |
| 1356336788 | Katherine L Cassidy | Emergency Medicine | 2200 Randallia Dr, Fort Wayne, IN 46805-4638 | 2005-09-12 |
| Street Address |
300 SOUTHERN BLVD |
| City | NESCONSET |
| State | NY |
| Zip Code | 11767-2709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417422213 | Vicki Anne Agoglia | Massage Therapist | 300 Southern Blvd, Nesconset, NY 11767-2709 | 2018-10-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487183877 | Robert Walter Hickey | Pharmacist | 115 Sheppard Ln, Nesconset, NY 11767 | 2017-06-08 |
| 1730621517 | James Remien | Massage Therapist | 62 Lake Ave South, Suite C, Nesconset, NY 11767 | 2016-11-10 |
| 1063788578 | Stacy Lynne Heuschneider | Nurse Practitioner | 48 Locust Drive, Nesconset, NY 11767 | 2012-03-29 |
| 1538485511 | Christina Ferlise-clark | Social Worker | 206 Nichols Rd, Nesconset, NY 11767 | 2010-04-15 |
| 1982843017 | Sharon Frances Devivo | Registered Nurse | 45 Rockey Point Road, Middle Island, NY 11767 | 2009-02-12 |
| 1649429523 | Justin Tate | Occupational Therapist | 14 Suburban Lane, Nesconset, NY 11767 | 2008-09-16 |
| 1386801520 | Helene Ann Hopkins Farley | Registered Nurse | 65 Tiffany Way, Nesconset, NY 11767 | 2008-05-16 |
| 1992978456 | Independent Group Home Living | Nursing Facility/Intermediate Care Facility | 200 A Gibbs Pond Rd, Nesconset, NY 11767 | 2008-04-07 |
| 1205019403 | Sherrie Glasser Physical Therapy/john Douglas Pta | Specialist | 5 Browns Rd, Nesconset, NY 11767 | 2007-12-11 |
| 1710109665 | Chiropractic Associates of Long Island PC | Chiropractor | 195 Smithtown Blvd, Ste 105, Nesconset, NY 11767 | 2007-05-02 |
| Find all providers in zip 11767 | ||||
| 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 |
|---|---|---|---|---|
| 1386252724 | Vincent P Pagan | Massage Therapist | 271 Lake Ave S, Nesconset, NY 11767-1853 | 2020-07-22 |
| 1417422213 | Vicki Anne Agoglia | Massage Therapist | 300 Southern Blvd, Nesconset, NY 11767-2709 | 2018-10-08 |
| 1730621517 | James Remien | Massage Therapist | 62 Lake Ave South, Suite C, Nesconset, NY 11767 | 2016-11-10 |
| 1699133272 | Nicole I Sichel | Massage Therapist | 25 Pine Dr, Nesconset, NY 11767-2706 | 2016-02-10 |
| 1437532520 | Adrianne Zate | Massage Therapist | 390 Lake Ave S, Nesconset, NY 11767-1866 | 2015-07-07 |
| 1184270530 | Kerry Speidell | Massage Therapist | 26 Shenandoah Blvd, Nesconset, NY 11767-2319 | 2019-08-12 |
| 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 | ||||
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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.