Mark Edward Roos, L.M.T.

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

007327 Issued in NY

Practice address

6605 Pittsford Palmyra Rd
Suite E-9
Fairport, NY 14450-3407

Phone

(585) 223-0644

NPI assigned

May 4, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184672255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "841 GRAVEL RD",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145801717",
            "telephone_number": "585-671-0449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6605 PITTSFORD PALMYRA RD",
            "address_2": "SUITE E-9",
            "city": "FAIRPORT",
            "state": "NY",
            "postal_code": "144503407",
            "telephone_number": "585-223-0644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROOS",
        "first_name": "MARK",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "credential": "L.M.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "007327",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE",
            "identifier": "1758733GG",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrea Rockefeller, LMHC
• Danielle Jennifer Rocktaschel, NYSLIC. AUD
• Marina Rodriguez
• Tatiana M. Rodriguez
• James Romano, D.D.S.
• Dustin David Root, LMT
• Kimberly M Rosdahl, MSED
• Caitlin Marie Rose, SLP
• Julie Case Roselli, M.S CCC-SLP
• Hope Rosenbaum, MSOTR/L

• Massage Therapist in Fairport, NY
• Providers in Fairport, 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 Jul 8, 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.