Active NPI
Jennifer Commerford, LMT
- Massage Therapist
- Albany, NY
National Provider Identifier
1356643100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 018570-1
- Practice address
- 1726 Western Ave
Albany, NY 12203-4413 - Phone
- (518) 621-7984
- NPI assigned
- Nov 30, 2010
- Sex
- Female
- Sole proprietor
- No
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 | 018570-1 | NY | Primary |
Addresses
Primary practice location
1726 Western Ave
Albany, NY 12203-4413
Mailing address
26 Sussex Way
Schenectady, NY 12309-2918
Phone (518) 376-6173
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 018570-1 | Other | NY | NYS LICENSE |
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 |
|---|---|---|---|
| 018570-1 | NY | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367452800000",
"number": "1356643100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26 SUSSEX WAY",
"city": "SCHENECTADY",
"state": "NY",
"postal_code": "123092918",
"telephone_number": "518-376-6173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1726 WESTERN AVE",
"city": "ALBANY",
"state": "NY",
"postal_code": "122034413",
"telephone_number": "518-621-7984"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COMMERFORD",
"first_name": "JENNIFER",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-11-30",
"last_updated": "2013-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NY",
"license": "018570-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NYS LICENSE",
"identifier": "018570-1",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Albany, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.