Organization Active NPI

Samarra Massage

  • Massage Therapist
  • Rochester, NY
National Provider Identifier
1154709145
Registry record updated May 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
025579 Issued in NY
Legal business name
SAMARRA MASSAGE
Practice address
1344 University Ave
Rochester, NY 14607-1656
Phone
(585) 278-8402
NPI assigned
May 11, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2015

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

Authorized official

Name
Ken Samarra, LMT
Title
Owner
Phone
(585) 278-8402

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X 025579 NY Primary

Addresses

Primary practice location

1344 University Ave
Rochester, NY 14607-1656

Mailing address

1815 Rochester St
Lima, NY 14485-9501
Phone (585) 278-8402

National Provider Directory

National Provider Directory

Locations

1344 University Ave
Rochester, NY 14607
Phone (585) 278-8402

NPI Registry JSON

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

{
    "created_epoch": "1431302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431302400000",
    "number": "1154709145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 ROCHESTER ST",
            "city": "LIMA",
            "state": "NY",
            "postal_code": "144859501",
            "telephone_number": "585-278-8402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1344 UNIVERSITY AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146071656",
            "telephone_number": "585-278-8402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMARRA MASSAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-11",
        "last_updated": "2015-05-11",
        "status": "A",
        "authorized_official_last_name": "SAMARRA",
        "authorized_official_first_name": "KEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "585-278-8402",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "025579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2015; 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.