Scott Joesph Ickowski, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

032805-01 Issued in NY

Practice address

989 Kenmore Ave
Kenmore, NY 14217-2924

Phone

(716) 335-9711

NPI assigned

Apr 19, 2024

Last updated

Apr 19, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Marciniak Chiropractic PLLC

  dba Peak Performance Chiropractic

  • Chiropractor
  • Buffalo, NY
  • NPI 1942610183
  NPD

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

{
    "created_epoch": "1713484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713484800000",
    "number": "1316792765",
    "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": "716-335-9711"
        },
        {
            "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": "716-335-9711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ICKOWSKI",
        "first_name": "SCOTT",
        "middle_name": "JOESPH",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-04-19",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "032805-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Huston, OTR/L
• James Matthew Hyland, DC, L, AC.
• Megan Hylkema
• Shannon Hyman
• Hyung C Park Physician PC
• Tiffany Lea Ilkiwskyj
• Paul A. Imbert, MA, CCC-SLP
• Kaitlin Incorvia, LCSW
• Kayla Innocent
• Irshad Ali, MD

• Massage Therapist in Kenmore, NY
• Providers in Kenmore, NY by specialty
• Massage Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2024; 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.