Active NPI
Shirley a. Conrad Inc
- Massage Therapist
- Orchard Park, NY
National Provider Identifier
1275806812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 014646-1
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 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 DirectoryNPI 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.