Active NPI
Derek C Lalone, L.M.T.
- Massage Therapist
- Cheektowaga, NY
National Provider Identifier
1124363767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 27026515
- Practice address
- 711 Borden Rd
Cheektowaga, NY 14227-3232 - Phone
- (716) 668-8108
- NPI assigned
- Dec 9, 2012
- 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 | 27026515 | NY | Primary |
Addresses
Primary practice location
711 Borden Rd
Cheektowaga, NY 14227-3232
Mailing address
3624 Dixon Rd
Mannsville, NY 13661-4243
Phone (315) 465-7995
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 |
|---|---|---|---|
| 27026515 | NY | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355011200000",
"number": "1124363767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3624 DIXON RD",
"city": "MANNSVILLE",
"state": "NY",
"postal_code": "136614243",
"telephone_number": "315-465-7995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "711 BORDEN RD",
"city": "CHEEKTOWAGA",
"state": "NY",
"postal_code": "142273232",
"telephone_number": "716-668-8108"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LALONE",
"first_name": "DEREK",
"middle_name": "C",
"credential": "L.M.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-12-09",
"last_updated": "2012-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NY",
"license": "27026515",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cheektowaga, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.