Active NPI
Daria K Janecek, L.M.T.
- Massage Therapist
- Cicero, NY
National Provider Identifier
1003136227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 012119-1
- Practice address
- 8458 Persian Ter
Cicero, NY 13039-8852 - Phone
- (315) 395-4685
- Fax
- (315) 699-7022
- NPI assigned
- Jun 10, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 012119-1 | NY | Primary |
Addresses
Primary practice location
8458 Persian Ter
Cicero, NY 13039-8852
Mailing address
8458 Persian Ter
Cicero, NY 13039-8852
Phone (315) 395-4685
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 012119-1 | NY | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1276128000000",
"number": "1003136227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8458 PERSIAN TER",
"city": "CICERO",
"state": "NY",
"postal_code": "130398852",
"telephone_number": "315-395-4685",
"fax_number": "315-699-7022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8458 PERSIAN TER",
"city": "CICERO",
"state": "NY",
"postal_code": "130398852",
"telephone_number": "315-395-4685",
"fax_number": "315-699-7022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JANECEK",
"first_name": "DARIA",
"middle_name": "K",
"name_prefix": "Mrs.",
"credential": "L.M.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-06-10",
"last_updated": "2010-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "NY",
"license": "012119-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cicero, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.