Organization Active NPI

Shirley a. Conrad Inc

  • Massage Therapist
  • Orchard Park, NY
National Provider Identifier
1275806812
Registry record updated Feb 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
014646-1 Issued in NY
Legal business name
SHIRLEY A. CONRAD INC
Practice address
4211 North Buffalo Street
Orchard Park, NY 14127
Phone
(716) 866-2826
NPI assigned
Feb 13, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2012

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

Authorized official

Name
Shirley A. Conrad, LMT
Title
President
Phone
(716) 866-2826

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X 014646-1 NY Primary

Addresses

Primary practice location

4211 North Buffalo Street
Orchard Park, NY 14127

Mailing address

20 Ramona Avenue
Buffalo, NY 14220-2307
Phone (716) 866-2826

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1329091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329091200000",
    "number": "1275806812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 RAMONA AVENUE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142202307",
            "telephone_number": "716-866-2826",
            "fax_number": "716-825-1994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4211 NORTH BUFFALO STREET",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "14127",
            "telephone_number": "716-866-2826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIRLEY A. CONRAD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-13",
        "last_updated": "2012-02-13",
        "status": "A",
        "authorized_official_last_name": "CONRAD",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "716-866-2826",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "014646-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orchard Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2012; 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.