Individual provider Active NPI

Stephanie Rae Cassety, LMT

  • Massage Therapist
  • East Aurora, NY
National Provider Identifier
1043073968
Registry record updated Feb 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
036195 Issued in NY
Practice address
19 Olean St
East Aurora, NY 14052-2513
Phone
(716) 652-3127
NPI assigned
Feb 2, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2024

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 036195 NY Primary

Addresses

Primary practice location

19 Olean St
East Aurora, NY 14052-2513

Mailing address

183 Fawn TRL
West Seneca, NY 14224-4536
Phone (716) 335-6737

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
036195NYMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
East Aurora Family Physical Therapy, PC CurrentSince Feb 4, 2024 Accepting new patients

Locations

19 Olean St
East Aurora, NY 14052
Phone (716) 652-3127

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1706832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706832000000",
    "number": "1043073968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "183 FAWN TRL",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142244536",
            "telephone_number": "716-335-6737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 OLEAN ST",
            "city": "EAST AURORA",
            "state": "NY",
            "postal_code": "140522513",
            "telephone_number": "716-652-3127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASSETY",
        "first_name": "STEPHANIE",
        "middle_name": "RAE",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-02",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "036195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Aurora, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2024; 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.