Brenda K Johnson, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

019746 Issued in NY

Practice address

13305 Broadway St
Alden, NY 14004-1324

Phone

(716) 937-4577

NPI assigned

Aug 9, 2007

Last updated

Aug 9, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dr. Stephanie Pautler-Bea, D.C., P.C.

  dba Pautler Chiropractic & Wellness

  • Chiropractor
  • Alden, NY
  • NPI 1669870796
  NPD (past)

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

{
    "created_epoch": "1186617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186617600000",
    "number": "1174714539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "845 SUMNER RD",
            "city": "DARIEN CENTER",
            "state": "NY",
            "postal_code": "140409711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13305 BROADWAY ST",
            "city": "ALDEN",
            "state": "NY",
            "postal_code": "140041324",
            "telephone_number": "716-937-4577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "BRENDA",
        "middle_name": "K",
        "name_prefix": "Ms.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-09",
        "last_updated": "2007-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "019746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandria Hinds
• Theresa Ann Hoffman, LMT
• Aaron A Hrycko, PT
• Kira Jaroslawsky
• Kathleen Ann Jegierski, MSED CCC-SLP
• Drew Johnson
• Ruth Ann Johnson, MD
• Venkata Ratnam Jupudy, M.D.
• Kari Ann Kalczynski, L.M.T
• Jessica Kerr

• Massage Therapist in Alden, NY
• Providers in Alden, 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 Aug 9, 2007; 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.