Active NPI
Susan K Rose, LMT
- Massage Therapist
- Moravia, NY
National Provider Identifier
1295608248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 025961-01
- Practice address
- 19 Keeler Ave
Moravia, NY 13118-3530 - Phone
- (315) 406-2130
- NPI assigned
- Sep 25, 2025
- Last updated
- Sep 25, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 | 025961-01 | NY | Primary |
Addresses
Primary practice location
19 Keeler Ave
Moravia, NY 13118-3530
Mailing address
19 Keeler Ave
Moravia, NY 13118-3530
Phone (315) 406-2130
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
| License | State | Type | Specialty |
|---|---|---|---|
| 025961-01 | NY | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1758758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758758400000",
"number": "1295608248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 KEELER AVE",
"city": "MORAVIA",
"state": "NY",
"postal_code": "131183530",
"telephone_number": "315-406-2130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 KEELER AVE",
"city": "MORAVIA",
"state": "NY",
"postal_code": "131183530",
"telephone_number": "315-406-2130"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSE",
"first_name": "SUSAN",
"middle_name": "K",
"name_prefix": "Ms.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-09-25",
"last_updated": "2025-09-25",
"certification_date": "2025-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NY",
"license": "025961-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Moravia, NY
- Northwoods Operations Associates (Northwoods Rehabilitation and Nursing Center)
- Napoleon Prestoza Oliveros Jr., RPT
- Elizabeth Patterson, M.S. CCC-SLP
- Kristy Riel Powers, LPN
- Shannon Denise Presley-Dickens, DDS
- Danielle E Ryan, DC
- Bonnie Steger, R.PH.
- Nita J. Stormann, NP
- Emily Sophia Swanson, PHARMD
- Sarah J Upton, PHARMD, RPH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.