Individual provider Active NPI

Rowan Janiszewski, LMT

  • Massage Therapist
  • Rochester, NY
National Provider Identifier
1295223352
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
030461-1 Issued in NY
Practice address
1577 W Ridge Rd Ste 208
Rochester, NY 14615-2511
Phone
(585) 770-8361
NPI assigned
Apr 24, 2018
Last updated
Oct 30, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 030461-01 NY
Massage Therapist 225700000X 030461-1 NY Primary

Addresses

Primary practice location

1577 W Ridge Rd Ste 208
Rochester, NY 14615-2511

Mailing address

1174 Mount Hope Ave
Rochester, NY 14620-2911
Phone (585) 445-8584

Other practice location 1

1174 Mount Hope Ave
Rochester, NY 14620-2911
Phone (585) 445-8584

Other names 1

  • Paige Janis Former name

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

State licenses

LicenseStateTypeSpecialty
030461-01NYMDMassage Therapist
030461-1NYMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mt Hope Chiropractic Wellness, PLLC CurrentSince Nov 5, 2023 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1524528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1295223352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1174 MOUNT HOPE AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146202911",
            "telephone_number": "585-445-8584",
            "fax_number": "585-445-8605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1577 W RIDGE RD STE 208",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146152511",
            "telephone_number": "585-770-8361"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1174 Mount Hope Ave",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146202911",
            "country_code": "US",
            "telephone_number": "585-445-8584",
            "fax_number": "585-445-8605",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JANISZEWSKI",
        "first_name": "ROWAN",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-24",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "030461-01",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "030461-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAIGE",
            "last_name": "JANIS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Oct 30, 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.