Kelsey Leigh Matousek, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

029784-1 Issued in NY

Practice address

4225 Long Branch Rd
Liverpool, NY 13090-3217

Phone

(315) 317-9995

NPI assigned

Apr 20, 2018

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1524182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524182400000",
    "number": "1023505369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4225 LONG BRANCH RD",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130903217",
            "telephone_number": "315-317-9995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4225 LONG BRANCH RD",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130903217",
            "telephone_number": "315-317-9995"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "188 County Route 57",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "NY",
            "postal_code": "131353315",
            "country_code": "US",
            "telephone_number": "315-317-9995",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATOUSEK",
        "first_name": "KELSEY",
        "middle_name": "LEIGH",
        "name_prefix": "Ms.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-20",
        "last_updated": "2018-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "029784-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John A Massaro, DDS
• Leo A Massaro, DDS
• Melissa A Massaro, PT
• Kasandra Masser
• Christine Mathews
• Patricia Mattessich
• Lena May
• Cassandra Mazza, RNC-NIC, MS, FNP-BC
• Mary Mazza, NP
• Olivia Marie Mazza, OTR/L

• Massage Therapist in Liverpool, NY
• Providers in Liverpool, NY by specialty
• Massage Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.