Individual provider · Type 1 NPI

Jessica Carbonara, LMT

Massage Therapist · Smithtown, NY

NPI number 1144164609 Active

Practice location

61 Route 111
Smithtown, NY 11787-3712

Call (516) 885-4645 Map

Mailing address

42 Baylor Dr
Smithtown, NY 11787-2002

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X012311 (NY)

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.

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About NPI 1144164609

Jessica Carbonara, LMT's National Provider Identifier is 1144164609, issued on Apr 15, 2026. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Smithtown, NY. The record was last updated on Apr 15, 2026.