Active NPI
Bethany Gratien
- Massage Therapist
- Baldwinsville, NY
National Provider Identifier
1043604036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 026548
- Practice address
- 24 E Genesee St
Baldwinsville, NY 13027-2565 - Phone
- (315) 372-2803
- NPI assigned
- Mar 27, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 026548 | NY | Primary |
Addresses
Primary practice location
24 E Genesee St
Baldwinsville, NY 13027-2565
Mailing address
72 Elm St
Camillus, NY 13031-1025
Phone (315) 372-2803
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 026548 | Other | NY | LICENSE |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cltoperations, LLC | Past | Accepting new patients |
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.
-
- Specialist
- Central Square, NY
- NPI 1770892341
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688342400000",
"number": "1043604036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "72 ELM ST",
"city": "CAMILLUS",
"state": "NY",
"postal_code": "130311025",
"telephone_number": "315-372-2803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 E GENESEE ST",
"city": "BALDWINSVILLE",
"state": "NY",
"postal_code": "130272565",
"telephone_number": "315-372-2803"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRATIEN",
"first_name": "BETHANY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-03-27",
"last_updated": "2023-07-03",
"certification_date": "2023-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NY",
"license": "026548",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "026548",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Baldwinsville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.