Charmain Baker Fenoff, LMT #014374

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

014374 Issued in NY

Practice address

112 Fox Run Rd
Elizabethtown, NY 12932-2904

Phone

(518) 524-6520

NPI assigned

Jul 6, 2022

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1657065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657065600000",
    "number": "1346973492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 FOX RUN RD",
            "city": "ELIZABETHTOWN",
            "state": "NY",
            "postal_code": "129322904",
            "telephone_number": "518-524-6520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 FOX RUN RD",
            "city": "ELIZABETHTOWN",
            "state": "NY",
            "postal_code": "129322904",
            "telephone_number": "518-524-6520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENOFF",
        "first_name": "CHARMAIN",
        "middle_name": "BAKER",
        "name_prefix": "Mrs.",
        "credential": "LMT #014374",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-06",
        "last_updated": "2022-07-06",
        "certification_date": "2022-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "014374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Essex County Treasurer
• Essex County Treasurer
• Essex Operations Associates LLC
• Families First in Essex
• Stephen Feinbloom, LCSW-R
• Robert Fischer
• Emily Schmitt Furman
• Dennis Furushima
• Sarah E Gardner, PT, DPT
• Kelsey Gath

• Massage Therapist in Elizabethtown, NY
• Providers in Elizabethtown, 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 Jul 6, 2022; 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.