Theresa Gantz

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

028715 Issued in NY

Practice address

7149 Transit Rd
East Amherst, NY 14051-1108

Phone

(716) 812-9825

NPI assigned

Jun 4, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• TMG Wellness Center LLC

  • Massage Therapist
  • Williamsville, NY
  • NPI 1245921097
  NPD Authorized official

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

{
    "created_epoch": "1433376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433376000000",
    "number": "1043690944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "256 WOODCREST BLVD",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142231412",
            "telephone_number": "716-812-9825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7149 TRANSIT RD",
            "city": "EAST AMHERST",
            "state": "NY",
            "postal_code": "140511108",
            "telephone_number": "716-812-9825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANTZ",
        "first_name": "THERESA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-04",
        "last_updated": "2015-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "028715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Iwona J Francis
• Zachary Frey
• Caitlin Frohnapple, PHARM.D.
• Alexandra Pamela Galvano, PHYSICIAN ASSISTANT
• Peter Louis Gambacorta, D.O.
• Vinod K. Garg, MD
• George Washington University
• Deborah Gerace, REGISTERED NURSE
• Kathryn M Giangreco
• Beth A Gillezeau, PA

• Massage Therapist in East Amherst, NY
• Providers in East Amherst, NY by specialty
• Massage Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2015; 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.