Active NPI
Purely Connected, LLC
- Massage Therapist
- Kenmore, NY
National Provider Identifier
1184025827
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 022871-1
- Legal business name
- PURELY CONNECTED, LLC
- Practice address
- 2982 Delaware Ave
Rear
Kenmore, NY 14217-2324 - Phone
- (716) 877-2858
- Fax
- (716) 877-2859
- NPI assigned
- Sep 12, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Erin Zwack, LMT
- Title
- Owner/Licensed Massage Therapist
- Phone
- (716) 907-3987
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Reflexologist | 173C00000X | 0904 | NY | |
| Massage Therapist | 225700000X | 022871-1 | NY | Primary |
Addresses
Primary practice location
2982 Delaware Ave
Rear
Kenmore, NY 14217-2324
Mailing address
2982 Delaware Ave
Rear
Kenmore, NY 14217-2324
Phone (716) 877-2858
National Provider Directory
National Provider DirectoryLocations
2982 Delaware Ave
Rear
Kenmore, NY 14217
Phone (716) 877-2858
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410480000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1410480000000",
"number": "1184025827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2982 DELAWARE AVE",
"address_2": "REAR",
"city": "KENMORE",
"state": "NY",
"postal_code": "142172324",
"telephone_number": "716-877-2858",
"fax_number": "716-877-2859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2982 DELAWARE AVE",
"address_2": "REAR",
"city": "KENMORE",
"state": "NY",
"postal_code": "142172324",
"telephone_number": "716-877-2858",
"fax_number": "716-877-2859"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PURELY CONNECTED, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-09-12",
"last_updated": "2014-09-12",
"status": "A",
"authorized_official_last_name": "ZWACK",
"authorized_official_first_name": "ERIN",
"authorized_official_title_or_position": "OWNER/LICENSED MASSAGE THERAPIST",
"authorized_official_telephone_number": "716-907-3987",
"authorized_official_credential": "LMT"
},
"taxonomies": [
{
"code": "173C00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Reflexologist",
"state": "NY",
"license": "0904",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "NY",
"license": "022871-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kenmore, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.