Active NPI
Stacey A Sutton, LMT
- Massage Therapist
- West Seneca, NY
National Provider Identifier
1306244678
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 025666
- Practice address
- 3850 Seneca St
West Seneca, NY 14224-3409 - Phone
- (716) 400-5142
- Fax
- (716) 671-5111
- NPI assigned
- Dec 18, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MT009349 | GA | |
| Massage Therapist | 225700000X | 025666 | NY | Primary |
Addresses
Primary practice location
3850 Seneca St
West Seneca, NY 14224-3409
Mailing address
3850 Seneca St
West Seneca, NY 14224-3409
Phone (716) 400-5142
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 |
|---|---|---|---|
| MT009349 | GA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418860800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691020800000",
"number": "1306244678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3850 SENECA ST",
"city": "WEST SENECA",
"state": "NY",
"postal_code": "142243409",
"telephone_number": "716-400-5142",
"fax_number": "716-671-5111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3850 SENECA ST",
"city": "WEST SENECA",
"state": "NY",
"postal_code": "142243409",
"telephone_number": "716-400-5142",
"fax_number": "716-671-5111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUTTON",
"first_name": "STACEY",
"middle_name": "A",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-12-18",
"last_updated": "2023-08-03",
"certification_date": "2023-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "GA",
"license": "MT009349",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NY",
"license": "025666",
"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 Aug 3, 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.