JONATHAN MICHAEL WILSON (NPI# 1144836610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144836610 |
| Entity Type | Individual |
| Full Name | JONATHAN MICHAEL WILSON |
| Practice Address |
1386 Route 25a East Setauket NY 11733-2842 |
| Practice Telephone | 6317512375 |
| Mailing Telephone | 6317512374 |
| Enumeration Date | 2020-09-21 |
| Last Update Date | 2020-09-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 027140-1 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023668019 | Jonathan Wilson | Specialist/Technologist | 1050 Union University Dr # 1811, Jackson, TN 38305-3656 | 2019-09-12 |
| 1841602992 | Jonathan David Wilson | Family Medicine | 3149 Freedom Dr, Charlotte, NC 28208-3869 | 2014-05-23 |
| 1497176903 | Jonathan Phillip Wilson | Marriage & Family Therapist | 20380 Shoshonee Rd, Apple Valley, CA 92307-5604 | 2013-12-31 |
| 1619316866 | Jonathan Adam Wilson | Dentist | 425 W Cook Rd, Mansfield, OH 44907-2300 | 2013-06-20 |
| 1760791552 | Jonathan B Wilson | Physical Therapist | 802 East Main St, Mannington, WV 26582 | 2010-09-28 |
| 1881738532 | Jonathan William Wilson | Optometrist | 1890 Goodman Rd E Ste 100, Southaven, MS 38671-9504 | 2007-02-16 |
| 1710966510 | Jonathan P Wilson | Family Medicine | 1985 Startown Rd., Fairbrock Medical Clinic Pa, Hickory, NC 28602 | 2006-01-11 |
| 1942817820 | Jonathan Harry Wilson | Technician | #1 Fifth Street, Elkins, WV 26241 | 2020-09-25 |
| 1265079883 | Jonathan Tyler Wilson | Occupational Therapist | 711 Frankfort Rd, Shelbyville, KY 40065-9447 | 2019-12-02 |
| 1609423243 | Jonathan Wilson | Physical Therapist | 1145 Ponce De Leon Blvd, Clearwater, FL 33756-1040 | 2019-08-19 |
| Street Address |
1386 ROUTE 25A |
| City | EAST SETAUKET |
| State | NY |
| Zip Code | 11733-2842 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528451960 | Frank Ventimiglia | Acupuncturist | 1386 Route 25a, East Setauket, NY 11733-2842 | 2015-03-10 |
| 1073126900 | Jacqueline Ann Grempel | Massage Therapist | 1386 Route 25a, East Setauket, NY 11733-2842 | 2020-08-29 |
| 1043703895 | Joshua David Rajotte | Massage Therapist | 1386 Route 25a, East Setauket, NY 11733-2842 | 2018-06-06 |
| 1427562511 | Lauren Damiano | Massage Therapist | 1386 Route 25a, East Setauket, NY 11733-2842 | 2017-11-28 |
| 1023528395 | Milagro Morales | Massage Therapist | 1386 Route 25a, East Setauket, NY 11733-2842 | 2017-10-02 |
| 1447785548 | Ashley Schriefer | Massage Therapist | 1386 Route 25a, East Setauket, NY 11733-2842 | 2017-04-26 |
| 1265964506 | Shareeda Allen | Massage Therapist | 1386 Route 25a, 1386 Rt 25a, East Setauket, NY 11733 | 2017-03-28 |
| 1467996165 | Ashley Victoria Cohen | Massage Therapist | 1386 Route 25a, East Setauket, NY 11733-2842 | 2016-12-14 |
| 1679015622 | Sarah Glen | Massage Therapist | 1386 Route 25a, East Setauket, NY 11733-2842 | 2016-11-08 |
| 1306297080 | North Shore Therapeutic Massage P.C. | Massage Therapist | 1386 Route 25a, East Setauket, NY 11733-2842 | 2016-06-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063033991 | Olivia Carlino | Registered Nurse | 28 Buckingham Meadow Road, Setauket, NY 11733 | 2020-05-01 |
| 1295392553 | Johnny Slade | Emergency Medicine | 11 Bridge Rd, East Setauket, NY 11733 | 2019-05-22 |
| 1275060345 | Donna M Sweeney | Specialist | 14 Research Way East, East Setauket, NY 11733 | 2017-05-18 |
| 1659806388 | Erin Kunz | Podiatrist | Stony Brook Surgical Associates, 37 Research Way, Setauket- East Setauket, NY 11733 | 2017-05-01 |
| 1285180521 | Allison M Pinard | Specialist/Technologist | 149 Old Field Road, Setauket, NY 11733 | 2016-08-28 |
| 1578915096 | Kristyn Matovich | Behavioral Analyst | 5 Kenwood Street, East Setauket, NY 11733 | 2016-07-08 |
| 1306258900 | Patricia M. Ferrara | Licensed Practical Nurse | 181 N Bellemeade Rd, Setauket, NY 11733 | 2014-05-30 |
| 1871922898 | Island Concierge Medical Services Pllc | Internal Medicine | 3400 Nesconset Hwy. Suite 103, East Setauket, NY 11733 | 2013-11-12 |
| 1669718219 | Sheila Marie Vergith | Physician Assistant | 17 Coraway Road, Setauket, NY 11733 | 2012-12-28 |
| 1285980474 | Jennifer L Monastero | Physical Therapist | 12 Technology Dr., Unit 2, E. Setauket, NY 11733 | 2012-07-25 |
| Find all providers in zip 11733 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366040560 | Vincent Joseph Naselli | Massage Therapist | 1386 Ny-25a, East Setauket, NY 11733-2842 | 2020-10-12 |
| 1417561911 | Maricar Centeno | Massage Therapist | 37 Mayflower Ln, East Setauket, NY 11733-3303 | 2020-09-02 |
| 1376183731 | Gina Otis | Massage Therapist | 196 N Belle Mead Rd Ste 3, East Setauket, NY 11733-3477 | 2020-01-13 |
| 1437556669 | Touch of Health Ny Massage P.C. | Massage Therapist | 262c Main St, East Setauket, NY 11733-2952 | 2014-12-03 |
| 1073126900 | Jacqueline Ann Grempel | Massage Therapist | 1386 Route 25a, East Setauket, NY 11733-2842 | 2020-08-29 |
| 1134768674 | Tracy Ann Julca | Massage Therapist | 6 S Jersey Ave, East Setauket, NY 11733-2021 | 2020-01-01 |
| 1013471085 | Michele Christine Deprima | Massage Therapist | 262c Main St, East Setauket, NY 11733-2952 | 2019-01-24 |
| 1528522505 | Brunilda A Ryan | Massage Therapist | 262c Main St, East Setauket, NY 11733-2952 | 2019-01-24 |
| 1043703895 | Joshua David Rajotte | Massage Therapist | 1386 Route 25a, East Setauket, NY 11733-2842 | 2018-06-06 |
| 1427562511 | Lauren Damiano | Massage Therapist | 1386 Route 25a, East Setauket, NY 11733-2842 | 2017-11-28 |
| Find all providers in EAST SETAUKET | ||||
| City | EAST SETAUKET |
| Zip Code | 11733 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.