Active NPI
Karisa Ann Marcelletti, LMT
- Massage Therapist
- Rochester, NY
National Provider Identifier
1275168841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 032049
- Practice address
- 884 E Ridge Rd
Rochester, NY 14621-1718 - Phone
- (585) 544-4077
- Fax
- (585) 544-4070
- NPI assigned
- Mar 4, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 032049 | NY | Primary |
Addresses
Primary practice location
884 E Ridge Rd
Rochester, NY 14621-1718
Mailing address
16 Main St
Hilton, NY 14468-1211
Phone (585) 391-0394
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": "1583280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583280000000",
"number": "1275168841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 MAIN ST",
"city": "HILTON",
"state": "NY",
"postal_code": "144681211",
"telephone_number": "585-391-0394",
"fax_number": "585-392-8126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "884 E RIDGE RD",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146211718",
"telephone_number": "585-544-4077",
"fax_number": "585-544-4070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARCELLETTI",
"first_name": "KARISA",
"middle_name": "ANN",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-04",
"last_updated": "2020-03-04",
"certification_date": "2020-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NY",
"license": "032049",
"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 Mar 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.