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

Lisa Balloni, LMT

Individual provider Massage Therapist · NPI 1972169308

Lisa Balloni, LMT is a Massage Therapist in Port Jefferson Station, New York. Licensed in New York. Registered with an NPI since 2019.

Licensed in
NY
In the registry since
2019
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

See every abbreviation used in this directory →

Practice location Address checks out

1041 Route 112
Port Jefferson Station, NY 11776-6000
Phone: (631) 828-4545
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 015698-1 (NY)

Record details

NPI number1972169308
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMT
Sole proprietorNo
NPI enumeratedMay 10, 2019
Last updated in NPPESMay 10, 2019

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