Organization Active NPI

Purely Connected, LLC

  • Massage Therapist
  • Kenmore, NY
National Provider Identifier
1184025827
Registry record updated Sep 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
022871-1 Issued in NY
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

Updated by the provider on Sep 12, 2014

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

Authorized official

Name
Erin Zwack, LMTNPI 1770827545
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)CodeLicenseStatePrimary
ReflexologistGroup: 193200000X MULTI-SPECIALTY GROUP 173C00000X 0904 NY
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.