Active NPI
Michael J Grasso, LMT
- Massage Therapist
- Batavia, NY
National Provider Identifier
1053554691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 010552
- Practice address
- 39 Ellicott St
Batavia, NY 14020-3138 - Phone
- (585) 343-5311
- Fax
- (585) 343-2146
- NPI assigned
- Apr 13, 2009
- Sex
- Male
- 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 | 010552 | NY | Primary |
Addresses
Primary practice location
39 Ellicott St
Batavia, NY 14020-3138
Mailing address
39 Ellicott Street
Batavia, NY 14020
Phone (585) 343-5311
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 |
|---|---|---|---|
| 010552 | NY | MD | Recreational Therapist Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1239580800000",
"number": "1053554691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39 ELLICOTT STREET",
"city": "BATAVIA",
"state": "NY",
"postal_code": "14020",
"telephone_number": "585-343-5311",
"fax_number": "585-343-2146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39 ELLICOTT ST",
"city": "BATAVIA",
"state": "NY",
"postal_code": "140203138",
"telephone_number": "585-343-5311",
"fax_number": "585-343-2146"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRASSO",
"first_name": "MICHAEL",
"middle_name": "J",
"name_prefix": "Mr.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-04-13",
"last_updated": "2009-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NY",
"license": "010552",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Batavia, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.