Individual provider Active NPI

Shawn Olszewski, LMT

  • Massage Therapist
  • Buffalo, NY
National Provider Identifier
1033548862
Registry record updated Oct 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
025059 Issued in NY
Practice address
1567 Military Rd
Buffalo, NY 14217-1264
Phone
(716) 877-0676
Fax
(716) 877-4248
NPI assigned
Nov 2, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 025059 NY Primary

Addresses

Primary practice location

1567 Military Rd
Buffalo, NY 14217-1264

Mailing address

8201 Oak Leaf LN
Williamsville, NY 14221-2860
Phone (716) 204-8556

Other practice location 1

400 International Dr
Williamsville, NY 14221-5771
Phone (716) 631-1516

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

LicenseStateTypeSpecialty
025059NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1383350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539561600000",
    "number": "1033548862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8201 OAK LEAF LN",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142212860",
            "telephone_number": "716-204-8556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1567 MILITARY RD",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142171264",
            "telephone_number": "716-877-0676",
            "fax_number": "716-877-4248"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 International Dr",
            "address_purpose": "LOCATION",
            "city": "Williamsville",
            "state": "NY",
            "postal_code": "142215771",
            "country_code": "US",
            "telephone_number": "716-631-1516",
            "fax_number": "716-204-2998",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLSZEWSKI",
        "first_name": "SHAWN",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-02",
        "last_updated": "2018-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "025059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.