Kim Su Dermody, LMT
NPI 1154572352 · Massage Therapist · Wading River, NY
Kim Su Dermody, LMT is a Massage Therapist provider in Wading River, NY (NPI 1154572352).
Provider details
- NPI number
- 1154572352
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- Yes
- License
- 011574 (NY)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-10-07
- Last updated
- 2008-10-07
Frequently asked questions
- What is Kim Su Dermody's NPI number?
- Kim Su Dermody's National Provider Identifier (NPI) is 1154572352, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kim Su Dermody's specialty?
- Kim Su Dermody is listed in the NPPES registry with a primary specialty of Massage Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Kim Su Dermody located?
- Kim Su Dermody's practice location on file with NPPES is 2 Sound Rd, Wading River, NY 11792-1033.
- What is Kim Su Dermody's phone number?
- The practice phone number listed in the NPPES registry for Kim Su Dermody is (631) 886-1999.
- Is Kim Su Dermody's NPI active?
- Yes — Kim Su Dermody's NPI (1154572352) is active in the NPPES registry as of the last update on 2008-10-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.