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 provides Massage Therapist services 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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