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CARL BEVILACQUA III
NPI 1184158735
Massage Therapist in Modena, NY

Active since April 19, 2017
215D WOODCREST DR APT 215D, MODENA, NY 12548(518) 586-6993 Get Directions Write a Review

NPPES record last updated: April 19, 2017. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Carl Bevilacqua Iii NPPES

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

CARL BEVILACQUA III (NPI 1184158735) is an individual massage therapist in Modena, New York, licensed in New York (029970) and active in the NPI registry since April 2017.

NPPES Registry Identity

NPI1184158735
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameCARL BEVILACQUA III
Location Address215D WOODCREST DR APT 215DModena, NY 12548-5107
Mailing Address215d Woodcrest Dr Apt 215dModena, NY 12548-5107 · (518) 586-6993
Phone(518) 586-6993
Sole ProprietorYes
Enumeration DateApril 19, 2017
✔ NPI 1184158735 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 · 029970
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.
215D WOODCREST DR APT 215D, Modena, NY 12548
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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 Carl Bevilacqua's NPI number?

The NPI number for Carl Bevilacqua is 1184158735. It was assigned to this individual provider in the NPPES registry on April 19, 2017.

Where is Carl Bevilacqua located?

Carl Bevilacqua practices at 215D Woodcrest Dr Apt 215D, Modena, NY 12548. The listed phone number is (518) 586-6993.

What is Carl Bevilacqua'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 Carl Bevilacqua was last updated on April 19, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.