Active NPI
Brian Defreest Katt, LMT
- Massage Therapist
- North Syracuse, NY
National Provider Identifier
1134878937
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 032423-01
- Practice address
- 709 N Main St
North Syracuse, NY 13212-1669 - Phone
- (315) 937-5954
- NPI assigned
- Mar 21, 2022
- 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 | 032423-01 | NY | Primary |
Addresses
Primary practice location
709 N Main St
North Syracuse, NY 13212-1669
Mailing address
8309 Provo Dr
Liverpool, NY 13090-4106
Phone (845) 702-5096
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 032423-01 | Other | NY | PRIVATE INSURANCE |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | BrianKatt | ||
| SOAP URL | www.wellnessliving.com | Other |
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 |
|---|---|---|---|
| 032423-01 | NY | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647820800000",
"number": "1134878937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8309 PROVO DR",
"city": "LIVERPOOL",
"state": "NY",
"postal_code": "130904106",
"telephone_number": "845-702-5096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "709 N MAIN ST",
"city": "NORTH SYRACUSE",
"state": "NY",
"postal_code": "132121669",
"telephone_number": "315-937-5954"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KATT",
"first_name": "BRIAN",
"middle_name": "DEFREEST",
"name_prefix": "Mr.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-03-21",
"last_updated": "2022-03-21",
"certification_date": "2022-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NY",
"license": "032423-01",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRIVATE INSURANCE",
"identifier": "032423-01",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "BrianKatt",
"affiliation": "N",
"address_1": "709 N Main St",
"city": "North Syracuse",
"state": "NY",
"country_code": "US",
"postal_code": "132121669",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "www.wellnessliving.com",
"affiliation": "N",
"endpointDescription": "Practice Management Software",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "none",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "none",
"address_1": "709 N Main St",
"city": "North Syracuse",
"state": "NY",
"country_code": "US",
"postal_code": "132121669",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in North Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.