David Matthew Hanas, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

007685 Issued in NY

Practice address

6050 Route US 20
Lafayette, NY 13084

Phone

(585) 247-6930

NPI assigned

Mar 22, 2007

Last updated

Oct 2, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569974400000",
    "number": "1114043619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 GRIFFIN DR",
            "city": "FAYETTEVILLE",
            "state": "NY",
            "postal_code": "130661923",
            "telephone_number": "585-247-6930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6050 ROUTE US 20",
            "city": "LAFAYETTE",
            "state": "NY",
            "postal_code": "13084",
            "telephone_number": "585-247-6930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANAS",
        "first_name": "DAVID",
        "middle_name": "MATTHEW",
        "name_prefix": "Mr.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-22",
        "last_updated": "2019-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "007685",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "0076851",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "U.S. DEPARTMENT OF LABOR OFFICE OF WORKERS COMPENSATION PROGRAM (OWCP)",
            "identifier": "615879500",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE",
            "identifier": "127397GG",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Timothy Brooks Cowart, IDC
• Everest Deadlock
• Jennifer Gates, R.N.
• Sarah R Gheen, RN
• Bonnie Jean Greczyn, LPN
• James Hanley, LPN
• Jillian Hanley
• Melissa Hughes, LPN
• Gyeong Kim
• Laafayette Dental Associates

• Massage Therapist in La Fayette, NY
• Providers in La Fayette, 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 2, 2019; 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.