Active NPI
Michellene Coffey Partridge
- Massage Therapist
- Eden, NY
National Provider Identifier
1033865472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 009067
- Practice address
- 8151 N Main St
Eden, NY 14057-1137 - Phone
- (716) 361-2732
- NPI assigned
- Feb 24, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 009067 | NY | MD | Occupational Therapist |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 009067 | NY | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
8151 N Main St
Eden, NY 14057-1137
Mailing address
7611 N State Rd
Eden, NY 14057-9665
Phone (716) 992-4958
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 24, 2022.
{
"created_epoch": "1645660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645660800000",
"number": "1033865472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7611 N STATE RD",
"city": "EDEN",
"state": "NY",
"postal_code": "140579665",
"telephone_number": "716-992-4958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8151 N MAIN ST",
"city": "EDEN",
"state": "NY",
"postal_code": "140571137",
"telephone_number": "716-361-2732"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARTRIDGE",
"first_name": "MICHELLENE",
"middle_name": "COFFEY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-02-24",
"last_updated": "2022-02-24",
"certification_date": "2022-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "NY",
"license": "009067",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eden, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.