Individual provider Active NPI

Gary Stevens Gregory Sr., LMT

  • Reflexologist
  • Buffalo, NY
National Provider Identifier
1245578301
Registry record updated Jan 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ReflexologistTaxonomy code 173C00000X
License
025710 Issued in NY
Practice address
326 Cayuga Rd
Buffalo, NY 14225-1940
Phone
(716) 632-7373
NPI assigned
Jan 24, 2013
Last updated
Jan 24, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Reflexologist 173C00000X 025710 NY Primary

Addresses

Primary practice location

326 Cayuga Rd
Buffalo, NY 14225-1940

Mailing address

162 Borden Rd
Depew, NY 14043-4207
Phone (716) 698-4120

Other identifiers 1

IdentifierTypeStateIssuer
025710OtherLICENSE MASSAGE THERAPIST

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

NPI Registry JSON

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

{
    "created_epoch": "1358985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358985600000",
    "number": "1245578301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "162 BORDEN RD",
            "city": "DEPEW",
            "state": "NY",
            "postal_code": "140434207",
            "telephone_number": "716-698-4120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 CAYUGA RD",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142251940",
            "telephone_number": "716-632-7373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREGORY",
        "first_name": "GARY",
        "middle_name": "STEVENS",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-01-24",
        "last_updated": "2013-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173C00000X",
            "taxonomy_group": "",
            "desc": "Reflexologist",
            "state": "NY",
            "license": "025710",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE MASSAGE THERAPIST",
            "identifier": "025710",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2013; 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.