CAMILLUS MASSAGE THERAPY PC
NPI 1336629179
Massage Therapist in Camillus, NY
NPI Status: Active since August 21, 2018
Contact Information
4906 W GENESEE ST
CAMILLUS, NY
ZIP 13031
Phone: (315) 552-0552
NPPES record last updated: August 21, 2018. Verified against the NPPES registry weekly; last sync: July 12, 2026.
- Organization
- Massage Therapist
- CLIA Number: 33D2161460
- CLIA Cert. Type: Assisted Living Facility
- CLIA Exp. Date: 03-26-2027
About CAMILLUS MASSAGE THERAPY PC
This page provides the complete NPI Profile along with additional information for Camillus Massage Therapy Pc, a provider established in Camillus, New York operating as a Massage Therapist. The healthcare provider is registered in the NPI registry with number 1336629179 assigned on August 2018. The practitioner's primary taxonomy code is 225700000X with license number 119074 (NY). The provider is registered as an organization and their NPI record was last updated 8 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Christopher Gregory Hess Lmt (President)
- NPI
- 1336629179
- Provider Name
- CAMILLUS MASSAGE THERAPY PC
- Entity Type
- Organization
- Location Address
- 4906 W GENESEE ST CAMILLUS, NY 13031
- Location Phone
- (315) 552-0552
- Mailing Address
- 4906 W GENESEE ST CAMILLUS, NY 13031
- Mailing Phone
- (315) 552-0552
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-21-2018
- Last Update Date
- 08-21-2018
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Massage Therapist
- Taxonomy Code
- 225700000X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- License No.
- 119074
- License State
- NY
- Taxonomy Description
- 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.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 33D2161460
- Facility Type
- Assisted Living Facility
- Certificate Effective Date
- February 04, 2019
- Certificate Expiration Date
- March 26, 2027
- Laboratory Director
- MR. JONATHAN D. COLINO
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Camillus Massage Therapy Pc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1336629179, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 61 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1336629179, enumerated as an "organization" on August 21, 2018.
The provider is located at 4906 W GENESEE ST CAMILLUS, NY 13031 and the phone number is (315) 552-0552.
Massage Therapist with taxonomy code 225700000X.
