Active NPI
Ashley Elizabeth Raczkiewicz, LMT
- Massage Therapist
- Buffalo, NY
National Provider Identifier
1346437456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 019648
- Practice address
- 295 Main St
Suite 740
Buffalo, NY 14203-2412 - Phone
- (716) 807-6612
- NPI assigned
- Oct 2, 2007
- 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 | 019648 | NY | Primary |
Addresses
Primary practice location
295 Main St
Suite 740
Buffalo, NY 14203-2412
Mailing address
295 Main St
Suite 740
Buffalo, NY 14203-2412
Phone (716) 807-6612
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 |
|---|---|---|---|
| 019648 | NY | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191283200000",
"number": "1346437456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "295 MAIN ST",
"address_2": "SUITE 740",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142032412",
"telephone_number": "716-807-6612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "295 MAIN ST",
"address_2": "SUITE 740",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142032412",
"telephone_number": "716-807-6612"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RACZKIEWICZ",
"first_name": "ASHLEY",
"middle_name": "ELIZABETH",
"name_prefix": "Ms.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-10-02",
"last_updated": "2007-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NY",
"license": "019648",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Buffalo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.