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

Tyler Portelli, LMT

Individual provider Massage Therapist · NPI 1992389704

Tyler Portelli, LMT is a Massage Therapist in Ronkonkoma, New York. Licensed in New York. Registered with an NPI since 2021.

Licensed in
NY
In the registry since
2021
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

700 Union Pkwy
Ronkonkoma, NY 11779-7427
Phone: (516) 330-9817
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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 029677 (NY)

Record details

NPI number1992389704
Entity typeIndividual (Type 1)
GenderMale
Credentials LMT
Sole proprietorNo
NPI enumeratedMay 7, 2021
Last updated in NPPESMay 7, 2021
Certification dateJanuary 14, 2021
Mailing addressPo Box 997, Bethpage, NY 11714-0019

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