Individual provider Active NPI

Bonnie Mary Gulczewski, LMT

  • Massage Therapist
  • West Seneca, NY
National Provider Identifier
1386230589
Registry record updated Dec 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
028462 Issued in NY
Practice address
1364 Union Rd
West Seneca, NY 14224-2919
Phone
(716) 796-5399
NPI assigned
Dec 12, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 028462 NY Primary

Addresses

Primary practice location

1364 Union Rd
West Seneca, NY 14224-2919

Mailing address

45 Organ Cres
West Seneca, NY 14224-1634
Phone (716) 796-5399

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

NPI Registry JSON

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

{
    "created_epoch": "1607731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607731200000",
    "number": "1386230589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 ORGAN CRES",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142241634",
            "telephone_number": "716-796-5399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1364 UNION RD",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142242919",
            "telephone_number": "716-796-5399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GULCZEWSKI",
        "first_name": "BONNIE",
        "middle_name": "MARY",
        "name_prefix": "Ms.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-12",
        "last_updated": "2020-12-12",
        "certification_date": "2020-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "028462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Seneca, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2020; 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.