Individual provider Active NPI

Christine Marie Heineman, LMT

  • Massage Therapist
  • Depew, NY
National Provider Identifier
1235830837
Registry record updated Mar 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
008669 Issued in NY
Practice address
5132 Transit Rd
Depew, NY 14043-4439
Phone
(716) 681-0071
NPI assigned
Mar 13, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 008669 NY Primary

Addresses

Primary practice location

5132 Transit Rd
Depew, NY 14043-4439

Mailing address

560 Lancer CT Apt B2
Depew, NY 14043-1331
Phone (716) 704-5233

Other practice location 1

560 Lancer Ct Apt B2
Depew, NY 14043-1331
Phone (716) 704-5233

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Body Care Massage Therapist CurrentSince Mar 19, 2023 Accepting new patients
Advanced Body Care Spa and Salon Massage Therapist PastSince Mar 19, 2023 Accepting new patients

Locations

5132 Transit Rd
Depew, NY 14043
Phone (716) 507-3673

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1678665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678665600000",
    "number": "1235830837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 LANCER CT APT B2",
            "city": "DEPEW",
            "state": "NY",
            "postal_code": "140431331",
            "telephone_number": "716-704-5233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5132 TRANSIT RD",
            "city": "DEPEW",
            "state": "NY",
            "postal_code": "140434439",
            "telephone_number": "716-681-0071"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "560 Lancer Ct Apt B2",
            "address_purpose": "LOCATION",
            "city": "Depew",
            "state": "NY",
            "postal_code": "140431331",
            "country_code": "US",
            "telephone_number": "716-704-5233",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEINEMAN",
        "first_name": "CHRISTINE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-13",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "008669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Depew, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2023; 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.