Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1831718675 Individual Practitioner Male Practitioner

Michael Joseph Fallon , LMT

Massage Therapist • Coram, NY

Professional Overview & Biography Verified Profile Summary

Michael Fallon, LMT is a registered healthcare professional specializing in Massage Therapist in Coram, NY. Practice services are available at 292 BRETTONWOODS DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

292 Brettonwoods Dr

Coram, NY 117273686

Telephone 6312559836

Specialty Benchmarks & Practice Insights

Comparative analytics for Massage Therapist in Coram, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.0 Yrs
Regional Practice Density
8 Specialists

Practicing in Coram, NY (3952 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-04-12
Massage Therapist Primary Specialty

NUCC Taxonomy Code: 225700000X

State License NY 030786

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID New York State
030786 (NY)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active April 12, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location April 12, 2020

Registered at 292 BRETTONWOODS DR, CORAM, NY 117273686 (Tel: 6312559836)

📍
Updated Business Mailing Address April 12, 2020

Registered at 292 BRETTONWOODS DR, CORAM, NY 117273686

👤
Provider Name / Credentials Updated April 12, 2020

Recorded as MICHAEL FALLON, LMT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 12, 2020

Massage Therapist (License #030786 in NY)

🟢
Initial NPI Registration & Enumeration April 12, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1831718675
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 12, 2020
Last Update: April 12, 2020
Sole Proprietor: Yes

Mailing Address

292 Brettonwoods Dr

Coram, NY 117273686

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.