Individual provider Active NPI

Judy N Fletcher, LMT

  • Specialist
  • Rochester, NY
National Provider Identifier
1225218803
Registry record updated Nov 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
015765-2 Issued in NY
Practice address
1880 Ridge Rd E
Suite 2 and 3
Rochester, NY 14622-2473
Phone
(585) 544-3759
NPI assigned
Nov 12, 2007
Last updated
Nov 12, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 015765-2 NY Primary

Addresses

Primary practice location

1880 Ridge Rd E
Suite 2 and 3
Rochester, NY 14622-2473

Mailing address

1880 Ridge Rd E
Suite 2 and 3
Rochester, NY 14622-2473
Phone (585) 544-3759

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
015765-2NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Failing Chiropractic, PC Past Accepting new patients
East Ridge Chiropractic PC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1194825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194825600000",
    "number": "1225218803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 RIDGE RD E",
            "address_2": "SUITE 2 AND 3",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146222473",
            "telephone_number": "585-544-3759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 RIDGE RD E",
            "address_2": "SUITE 2 AND 3",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146222473",
            "telephone_number": "585-544-3759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLETCHER",
        "first_name": "JUDY",
        "middle_name": "N",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-12",
        "last_updated": "2007-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "015765-2",
            "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 Nov 12, 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.