Healthcare Provider Details

I. General information

NPI: 1275205957
Provider Name (Legal Business Name): ELIZABETH ARIAS LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/01/2021
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

258 BUTTRICK AVE APT 1
BRONX NY
10465-3109
US

IV. Provider business mailing address

2395 3RD AVE APT 735
BRONX NY
10451-1977
US

V. Phone/Fax

Practice location:
  • Phone:
  • Fax:
Mailing address:
  • Phone: 347-912-8764
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number3991492
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number0310047
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: