Raemell Cherrod Johnson, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

034052 Issued in NY

Practice address

989 Kenmore Ave
Kenmore, NY 14217-2924

Phone

(716) 335-9711

NPI assigned

Oct 15, 2025

Sex

Male

Sole proprietor

No

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

State licenses

Practice roles

Locations

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.

• Marciniak Chiropractic PLLC

  • Chiropractor
  • Buffalo, NY
  • NPI 1942610183
  NPD

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

{
    "created_epoch": "1760486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760486400000",
    "number": "1104792118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 DEERFIELD AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142153024",
            "telephone_number": "716-482-2028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "989 KENMORE AVE",
            "city": "KENMORE",
            "state": "NY",
            "postal_code": "142172924",
            "telephone_number": "716-335-9711"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3850 Seneca St Lowr",
            "address_purpose": "LOCATION",
            "city": "West Seneca",
            "state": "NY",
            "postal_code": "142243409",
            "country_code": "US",
            "telephone_number": "716-400-5142",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "RAEMELL",
        "middle_name": "CHERROD",
        "name_prefix": "Mr.",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-10-15",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "034052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Rose Jennings, OTR/L
• Natalie Ann Jetter, DPT
• Camille Aleah Jividen
• Miranda Jobson
• Patrick Johel
• Teresa Marie Johnson, LCSW
• Leta Ann Jones
• Kwang Joo, MD
• Katherine N Jordan, COTA
• Joseph V. Mure, MD, PLLC

• Massage Therapist in Kenmore, NY
• Providers in Kenmore, 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 Oct 15, 2025; 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.