SERENITY SOURCE MASSAGE CORP
NPI 1861038291
Massage Therapist in Blue Point, NY

Active since November 20, 2019
18 WEEKS ST, BLUE POINT, NY 11715(631) 419-6300 Get Directions Write a Review

NPPES record last updated: January 6, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 6, 2021, Nov 20, 2019 (2 updates tracked since 2019).

About Serenity Source Massage Corp NPPES

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

SERENITY SOURCE MASSAGE CORP (NPI 1861038291) is a healthcare organization registered as a massage therapist in Blue Point, New York and active in the NPI registry since November 2019. The organization lists Diane Randazzo, President, as its authorized official.

NPPES Registry Identity

NPI1861038291
Entity TypeOrganization
Primary Taxonomy225700000X
Legal Business NameSERENITY SOURCE MASSAGE CORP
Location Address18 WEEKS STBlue Point, NY 11715-1513
Mailing Address18 Weeks StBlue Point, NY 11715-1513 · (631) 419-6300
Organization SubpartNo
Authorized OfficialDiane RandazzoPresident · (631) 419-6300
Enumeration DateNovember 20, 2019
Last NPPES UpdateJanuary 6, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 6, 2021
NPI 1861038291 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
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.
18 WEEKS ST, Blue Point, NY 11715

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 12

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

Massage Therapist
18 WEEKS ST
BLUE POINT, NY 11715
Massage Therapist
18 WEEKS ST
BLUE POINT, NY 11715
Massage Therapist
18 WEEKS ST
BLUE POINT, NY 11715
Acupuncturist
18 WEEKS ST
BLUE POINT, NY 11715
Massage Therapist
18 WEEKS ST
BLUE POINT, NY 11715
Massage Therapist
18 WEEKS ST
BLUE POINT, NY 11715
Massage Therapist
18 WEEKS ST
BLUE POINT, NY 11715
Chiropractor
18 WEEKS ST, SUITE A
BLUE POINT, NY 11715

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 Serenity Source Massage Corp's NPI number?

The NPI number for Serenity Source Massage Corp is 1861038291. It was assigned to this organization in the NPPES registry on November 20, 2019.

Where is Serenity Source Massage Corp located?

Serenity Source Massage Corp is located at 18 Weeks St, Blue Point, NY 11715. The listed phone number is (631) 419-6300.

What is Serenity Source Massage Corp'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 Serenity Source Massage Corp was last updated on January 6, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.