Bethany Jean Fancher, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

009725 Issued in NY

Practice address

3408 30TH St Apt B45
Long Island City, NY 11106-3008

Phone

(718) 755-5361

NPI assigned

Sep 19, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1568851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612656000000",
    "number": "1023668258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3408 30TH ST APT B45",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111063008",
            "telephone_number": "718-755-5361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3408 30TH ST APT B45",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111063008",
            "telephone_number": "718-755-5361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANCHER",
        "first_name": "BETHANY",
        "middle_name": "JEAN",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-19",
        "last_updated": "2021-02-07",
        "certification_date": "2021-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "TN",
            "license": "11756",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "009725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Falkowitz
• Elizabeth Faltischek
• Malin Falu, CASAC
• Janovly Jeremiah Gana Famanila, OTR
• Lu Fan, PHARM D.
• Julia Renee Farah, RN
• Keyla De Los Angeles Farfan Otavalo, RN
• Romina Farias, RN
• Lana Farina, PSYD
• Christine Farkouh, OTR/L

• Massage Therapist in Long Island City, NY
• Providers in Long Island City, 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 Feb 7, 2021; 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.