Port Jefferson Therapeutic Massage P.c. is a
Massage Therapist based in Port Jeff Sta, New York. Port Jefferson Therapeutic Massage P.c. is licensed to practice in * (Not Available) (license number ) and their current practice location is
716 Route 112, Port Jeff Sta, New York. It can be reached at their office (for appointments etc.) via phone at
(631) 331-7631.
NPI number for Port Jefferson Therapeutic Massage P.c. is 1861156036 and their current mailing address is 716 Route 112, Port Jeff Sta, New York. Port Jefferson Therapeutic Massage P.c.
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1861156036.
Healthcare Provider's Profile
Full Name | Port Jefferson Therapeutic Massage P.c. |
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Type | Facility |
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Speciality | Massage Therapist |
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Location | 716 Route 112, Port Jeff Sta, New York |
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Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1861156036
- Provider Enumeration Date: 10/25/2021
- Last Update Date: 10/25/2021
Medical Identifiers
Medical identifiers for Port Jefferson Therapeutic Massage P.c. such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1861156036 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225700000X | Massage Therapist | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Port Jefferson Therapeutic Massage P.c. is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Port Jefferson Therapeutic Massage P.c. 716 Route 112, Port Jeff Sta, NY 11776-1025 Ph: (631) 331-7631 | Port Jefferson Therapeutic Massage P.c. 716 Route 112, Port Jeff Sta, NY 11776-1025 Ph: (631) 331-7631 |
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