Organization Active NPI

Renew Wellness

  • Massage Therapist
  • Cheektowaga, NY
National Provider Identifier
1386044089
Registry record updated Aug 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
0278351 Issued in NY
Legal business name
RENEW WELLNESS
Practice address
22 Barone Cir
Cheektowaga, NY 14225-3617
Phone
(716) 628-7666
NPI assigned
Aug 29, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2014

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

Authorized official

Name
Lacie J Turgeon, LMT
Title
Licensed Massage Therapist
Phone
(716) 628-7666

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X 0278351 NY Primary

Addresses

Primary practice location

22 Barone Cir
Cheektowaga, NY 14225-3617

Mailing address

22 Barone Cir
Cheektowaga, NY 14225-3617

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1409270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409270400000",
    "number": "1386044089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 BARONE CIR",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142253617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 BARONE CIR",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142253617",
            "telephone_number": "716-628-7666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEW WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-29",
        "last_updated": "2014-08-29",
        "status": "A",
        "authorized_official_last_name": "TURGEON",
        "authorized_official_first_name": "LACIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "LICENSED MASSAGE THERAPIST",
        "authorized_official_telephone_number": "716-628-7666",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "0278351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheektowaga, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.