NPIMap

Organization Active NPI

Massage Suite & Spa Inc

  • Massage Therapist
  • Kenmore, NY
National Provider Identifier
1306260229
Registry record updated Feb 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
019478 Issued in NY
Legal business name
MASSAGE SUITE & SPA INC
Practice address
989 Kenmore Ave
Kenmore, NY 14217-2924
Phone
(716) 877-2728
Fax
(716) 877-2733
NPI assigned
Feb 12, 2014
Last updated
Feb 12, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2014

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

Authorized official

Name
Mrs. Monique M Jarvis, LMT
Title
President/LMT
Phone
(716) 877-2728

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 019478 NY Primary

Addresses

Primary practice location

989 Kenmore Ave
Kenmore, NY 14217-2924

Mailing address

989 Kenmore Ave
Kenmore, NY 14217-2924
Phone (716) 877-2728

Other names 1

  • Monique Jarvis Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1392163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392163200000",
    "number": "1306260229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "989 KENMORE AVE",
            "city": "KENMORE",
            "state": "NY",
            "postal_code": "142172924",
            "telephone_number": "716-877-2728",
            "fax_number": "716-877-2733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "989 KENMORE AVE",
            "city": "KENMORE",
            "state": "NY",
            "postal_code": "142172924",
            "telephone_number": "716-877-2728",
            "fax_number": "716-877-2733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASSAGE SUITE & SPA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-12",
        "last_updated": "2014-02-12",
        "status": "A",
        "authorized_official_last_name": "JARVIS",
        "authorized_official_first_name": "MONIQUE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT/LMT",
        "authorized_official_telephone_number": "716-877-2728",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "019478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Monique Jarvis",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Kenmore, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2014; 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.