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

Elysia Louise Jungin Mahardy, LMT

Individual provider Massage Therapist · NPI 1356217020

Elysia Louise Jungin Mahardy, LMT is a Massage Therapist in Ridgewood, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2025
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

6853 Fresh Pond Rd
Ridgewood, NY 11385-5263
Phone: (516) 545-9637
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 031993 (NY)

Record details

NPI number1356217020
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMT
Sole proprietorYes
NPI enumeratedOctober 10, 2025
Last updated in NPPESOctober 10, 2025
Certification dateOctober 10, 2025

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