TYLER PORTELLI LMT
NPI 1992389704
Massage Therapist in Ronkonkoma, NY

Q: What is Tyler Portelli's NPI number?

The NPI number for Tyler Portelli is 1992389704. It was assigned to this individual provider in the NPPES registry on May 7, 2021.

Q: What is Tyler Portelli's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Tyler Portelli was last updated on May 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since May 07, 2021

700 UNION PKWY, RONKONKOMA, NY 11779(516) 330-9817 Get Directions Write a Review

NPPES record last updated: May 7, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Tyler Portelli Lmt NPPES

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

TYLER PORTELLI LMT (NPI 1992389704) is an individual massage therapist in Ronkonkoma, New York, licensed in New York (029677) and active in the NPI registry since May 2021.

NPPES Registry Identity

NPI1992389704

Entity TypeIndividualMale

Primary Taxonomy225700000X

Provider Legal NameTYLER PORTELLICredential: LMT

Location Address700 UNION PKWYRonkonkoma, NY 11779-7427

Mailing AddressPo Box 997Bethpage, NY 11714-0019

Phone(516) 330-9817

Sole ProprietorNo

Enumeration DateMay 7, 2021

NPPES CertifiedJanuary 14, 2021

✔ NPI 1992389704 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 · 029677

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.

700 UNION PKWY, Ronkonkoma, NY 11779

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Other Providers at the Same Location NPPES

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

LAKE SHORE PHYSICAL THERAPY, P.C.

Physical Therapist

700 UNION PKWY, SUITE 3
RONKONKOMA, NY 11779

Suffolk County (516) 731-3583

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 Tyler Portelli's NPI number?

The NPI number for Tyler Portelli is 1992389704. It was assigned to this individual provider in the NPPES registry on May 7, 2021.

Where is Tyler Portelli located?

Tyler Portelli practices at 700 Union Pkwy, Ronkonkoma, NY 11779. The listed phone number is (516) 330-9817.

What is Tyler Portelli'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 Tyler Portelli was last updated on May 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.