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

Individual provider Massage Therapist · NPI 1992775613

Liliana Fazendeiro, PTA is a Massage Therapist in Sag Harbor, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2006
Specialties on file
2
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

34A Bay St
Sag Harbor, NY 11963-3104
Phone: (631) 356-2631
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 0057821 (NY)
Massage Therapist Taxonomy 225700000X · Licence 020287 (NY)

Record details

NPI number1992775613
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorYes
NPI enumeratedJanuary 25, 2006
Last updated in NPPESAugust 22, 2023
Certification dateAugust 22, 2023

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