Active NPI
Kristy Lynne McDonald, LMT
- Massage Therapist
- West Seneca, NY
National Provider Identifier
1306199815
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 026135
- Practice address
- 1900 Ridge Rd
Ste 127
West Seneca, NY 14224-3332 - Phone
- (716) 677-2969
- NPI assigned
- Oct 22, 2012
- 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 | 026135 | NY | Primary |
Addresses
Primary practice location
1900 Ridge Rd
Ste 127
West Seneca, NY 14224-3332
Mailing address
96 Caldwell Dr
West Seneca, NY 14224-5010
Phone (716) 510-5192
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 |
|---|---|---|---|
| 026135 | NY | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summerville Fitness LLC | Past | Accepting new patients | |
| Universal Chiropractic,PC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- West Seneca, NY
- NPI 1366805848
-
- Chiropractor
- West Seneca, NY
- NPI 1952538407
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428451200000",
"number": "1306199815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "96 CALDWELL DR",
"city": "WEST SENECA",
"state": "NY",
"postal_code": "142245010",
"telephone_number": "716-510-5192"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 RIDGE RD",
"address_2": "STE 127",
"city": "WEST SENECA",
"state": "NY",
"postal_code": "142243332",
"telephone_number": "716-677-2969"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDONALD",
"first_name": "KRISTY",
"middle_name": "LYNNE",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-10-22",
"last_updated": "2015-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NY",
"license": "026135",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Seneca, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.