Tina Destro

Primary specialty

Massage TherapistTaxonomy code 225700000X

Practice address

135 Thorndale Ave
West Seneca, NY 14224-1877

Phone

(716) 480-0242

NPI assigned

Jul 29, 2014

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

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

{
    "created_epoch": "1406592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406592000000",
    "number": "1104234673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 THORNDALE AVE",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142241877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 THORNDALE AVE",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142241877",
            "telephone_number": "716-480-0242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESTRO",
        "first_name": "TINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-29",
        "last_updated": "2014-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas D Denecke, DC
• Christopher Lee Depasquale, BACHELOR OF NS DOCTO
• Anthony John Deplato, M.D.
• Peter D. Derose, D.D.S.
• Lauren Marie Destro, DPT
• Colleen M Dhafir, N.P.
• Mazin A Dhafir, M.D.
• Pardeep Paul Dhanoa, DO
• Diane M. Sanfilippo
• Diane M. Sanfilippo MD OB-GYN PC

• Massage Therapist in West Seneca, NY
• Providers in West Seneca, 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 Jul 29, 2014; 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.