Active NPI
Theresa Roesler, LMT
- Massage Therapist
- Buffalo, NY
National Provider Identifier
1396916904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 016975
- Practice address
- 160 North St
Buffalo, NY 14201-1525 - Phone
- (716) 885-1581
- Fax
- (716) 885-2737
- NPI assigned
- Mar 23, 2008
- 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 | 016975 | NY | Primary |
Addresses
Primary practice location
160 North St
Buffalo, NY 14201-1525
Mailing address
13A Elk Terminal
Buffalo, NY 14204-4200
Phone (716) 400-9626
Other practice location 1
1900 Ridge Road
Universal Chiropractic
West Seneca, NY 14204
Phone (716) 400-9626
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Drzwny@yahoo.com |
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 |
|---|---|---|---|
| 016975 | NY | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Massage Therapeutic Arts | Massage Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Massage Therapist
- Buffalo, NY
- NPI 1497137202
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563235200000",
"number": "1396916904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13A ELK TERMINAL",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142044200",
"telephone_number": "716-400-9626",
"fax_number": "716-674-2969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 NORTH ST",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142011525",
"telephone_number": "716-885-1581",
"fax_number": "716-885-2737"
}
],
"practiceLocations": [
{
"address_1": "1900 Ridge Road",
"address_2": "Universal Chiropractic",
"address_purpose": "LOCATION",
"city": "West Seneca",
"state": "NY",
"postal_code": "14204",
"country_code": "US",
"telephone_number": "716-400-9626",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROESLER",
"first_name": "THERESA",
"name_prefix": "Ms.",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-23",
"last_updated": "2019-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NY",
"license": "016975",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Drzwny@yahoo.com",
"affiliation": "N",
"address_1": "1900 Ridge Road",
"address_2": "Universal Chiropractic",
"city": "West Seneca",
"state": "NY",
"country_code": "US",
"postal_code": "14204",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Jul 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.