OrganizationActive
Panacea Wellness Studio LLC
NPI 1730745282 · Massage Therapist · Port Jefferson, NY
Provider details
- NPI number
- 1730745282
- Entity type
- Organization
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Vanessa Johnathan, Owner(516) 427-0394
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
17 N Country Rd Ste B
Port Jefferson, NY 11777-2271
Phone: (631) 509-4270
Fax: (631) 509-4271
Approximate (ZIP-level) locationGet directions
Mailing address
17 N Country Rd Ste B
Port Jefferson, NY 11777-2271
Registry dates
- Enumerated
- 2019-05-09
- Last updated
- 2019-05-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.