Active NPI
Sara Elisabeth Mayer McKernan, LMT
- Massage Therapist
- Cheektowaga, NY
National Provider Identifier
1003320482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 018483
- Practice address
- 3795 Harlem Rd
Cheektowaga, NY 14215-1954 - Phone
- (716) 634-6272
- NPI assigned
- Nov 21, 2017
- 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 | 018483 | NY | Primary |
Addresses
Primary practice location
3795 Harlem Rd
Cheektowaga, NY 14215-1954
Mailing address
135 Harding Rd
Williamsville, NY 14221-7108
Phone (716) 388-1921
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 |
|---|---|---|---|
| 018483 | NY | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1511222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1511222400000",
"number": "1003320482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "135 HARDING RD",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142217108",
"telephone_number": "716-388-1921"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3795 HARLEM RD",
"city": "CHEEKTOWAGA",
"state": "NY",
"postal_code": "142151954",
"telephone_number": "716-634-6272"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAYER MCKERNAN",
"first_name": "SARA",
"middle_name": "ELISABETH",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-11-21",
"last_updated": "2017-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NY",
"license": "018483",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cheektowaga, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.