IndividualActive
Stacie Diaz, LMT
NPI 1215166830 · Massage Therapist · Jamaica, NY
Provider details
- NPI number
- 1215166830
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- Yes
- License
- 022590 (NY)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Other Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
17224 133rd Ave Apt 11e
Jamaica, NY 11434-3903
Phone: (917) 400-1294
Street-level locationGet directions
Mailing address
17224 133rd Ave
Jamaica, NY 11434-3955
Additional practice locations (1)
- 4 Taft AveLynbrook, NY 11563-1403Phone: (516) 596-9100Fax: (516) 515-4331
Registry dates
- Enumerated
- 2009-07-02
- Last updated
- 2023-02-02
- Certified
- 2023-02-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.