Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Port Jefferson Therapeutic Massage PC

Organization Massage Therapist · NPI 1861156036

Port Jefferson Therapeutic Massage PC is a Massage Therapist in Port Jeff Sta, New York. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

716 Route 112
Port Jeff Sta, NY 11776-1025
Phone: (631) 331-7631
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X

Record details

NPI number1861156036
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jenifer Kirby — Owner · (631) 331-7631
NPI enumeratedOctober 25, 2021
Last updated in NPPESOctober 25, 2021
Certification dateOctober 25, 2021
Mailing address716 Route 112, Port Jeff Sta, NY 11776-1025

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