Individual provider Active NPI

William A Coder, L.M.T.

  • Massage Therapist
  • Buffalo, NY
National Provider Identifier
1386832384
Registry record updated Oct 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
018742-1 Issued in NY
Practice address
3435 Harlem Rd
Suite 7
Buffalo, NY 14225-2021
Phone
(716) 417-7577
Fax
(716) 836-1568
NPI assigned
Oct 4, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2007

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 018742-1 NY Primary

Addresses

Primary practice location

3435 Harlem Rd
Suite 7
Buffalo, NY 14225-2021

Mailing address

3435 Harlem Rd
Suite 7
Buffalo, NY 14225-2021
Phone (716) 417-7577

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

LicenseStateTypeSpecialty
018742-1NYMDMedical Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1191456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191456000000",
    "number": "1386832384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3435 HARLEM RD",
            "address_2": "SUITE 7",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142252021",
            "telephone_number": "716-417-7577",
            "fax_number": "716-836-1568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3435 HARLEM RD",
            "address_2": "SUITE 7",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142252021",
            "telephone_number": "716-417-7577",
            "fax_number": "716-836-1568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CODER",
        "first_name": "WILLIAM",
        "middle_name": "A",
        "credential": "L.M.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-04",
        "last_updated": "2007-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "018742-1",
            "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 4, 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.

Verify at the official NPI Registry.