Anne Mahoney, LMT

Primary specialty

SpecialistTaxonomy code 174400000X

License

011828 Issued in NY

Practice address

162 Mill St
Village Glen Tennis Club
Williamsville, NY 14221-5549

Phone

(716) 812-7071

NPI assigned

Dec 5, 2008

Last updated

Dec 5, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1228435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228435200000",
    "number": "1447495445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "162 MILL ST",
            "address_2": "VILLAGE GLEN TENNIS CLUB",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142215549",
            "telephone_number": "716-812-7071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 MILL ST",
            "address_2": "VILLAGE GLEN TENNIS CLUB",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142215549",
            "telephone_number": "716-812-7071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHONEY",
        "first_name": "ANNE",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-05",
        "last_updated": "2008-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "011828",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS LICENSED MASSAGE THERAPIST",
            "identifier": "011828",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Katherine Lynn Majerovich, MB BCH BAO
• Samantha Majewski, LMSW

• Specialist in Williamsville, NY
• Providers in Williamsville, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2008; 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.