Relaxation Station LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

02201-1 Issued in NY

Legal business name

RELAXATION STATION LLC

Practice address

3281 Transit Rd
Elma, NY 14059-9637

Phone

(716) 656-7600

NPI assigned

Sep 15, 2016

Last updated

Sep 15, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Rachel Ann Derenda, LMT

Title

Owner

Phone

(716) 656-7600

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kelly Nicole Koestler, L.M.T

  • Massage Therapist
  • Depew, NY
  • NPI 1982973491
  NPD (past)

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

{
    "created_epoch": "1473897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473897600000",
    "number": "1033667399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3281 TRANSIT RD",
            "city": "ELMA",
            "state": "NY",
            "postal_code": "140599637",
            "telephone_number": "716-656-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3281 TRANSIT RD",
            "city": "ELMA",
            "state": "NY",
            "postal_code": "140599637",
            "telephone_number": "716-656-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELAXATION STATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-15",
        "last_updated": "2016-09-15",
        "status": "A",
        "authorized_official_last_name": "DERENDA",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-656-7600",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "02201-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mona Pourramazan
• Premise Health of New York Medical PC (Moog InHealth Wellness Center)
• Jennifer Purpura, LMT
• Karyn A Raichel, COTA
• Kalyn C Reabold, LMT
• Jeffrey Allan Ross, D.C.
• Scott Ruppert, PSYD
• Emilia Rutigliano, M.D.
• Benjamin John Rutowski
• Marilyn A Schumacher

• Specialist in Elma, NY
• Providers in Elma, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2016; 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.