SAM J DONOVAN LMT
NPI 1144113788
Massage Therapist in Ithaca, NY

Active since June 02, 2025
225 S FULTON ST STE B, ITHACA, NY 14850(607) 288-3866 Get Directions Write a Review

NPPES record last updated: June 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sam J Donovan Lmt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAM J DONOVAN LMT (NPI 1144113788) is an individual massage therapist in Ithaca, New York, licensed in New York (030078) and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1144113788
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameSAM J DONOVANCredential: LMT
Location Address225 S FULTON ST STE BIthaca, NY 14850-3344
Mailing Address225 S Fulton St Ste BIthaca, NY 14850-3344 · (607) 288-3866
Sole ProprietorYes
Enumeration DateJune 2, 2025
NPPES CertifiedJune 2, 2025
NPI 1144113788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License Licensed in NY · 030078
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
225 S FULTON ST STE B, Ithaca, NY 14850

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Massage Therapist
225 S FULTON ST STE B
ITHACA, NY 14850
Massage Therapist
225 S FULTON ST STE B
ITHACA, NY 14850

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sam Donovan's NPI number?

The NPI number for Sam Donovan is 1144113788. It was assigned to this individual provider in the NPPES registry on June 2, 2025.

Where is Sam Donovan located?

Sam Donovan practices at 225 S Fulton St Ste B, Ithaca, NY 14850. The listed phone number is (607) 288-3866.

What is Sam Donovan's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Sam Donovan was last updated on June 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.