Green Pastures Still Waters, LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

GREEN PASTURES STILL WATERS, LLC

Practice address

1413 Hertel Ave Ste 1
Buffalo, NY 14216-2831

Phone

(716) 922-2772

NPI assigned

Dec 17, 2019

Organization subpart

Yes

Parent organization

GREEN PASTURES STILL WATERS, LLCAs reported in NPPES

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

Authorized official

Name

Laura Louise Zimberg, LMT

Title

Owner/LMT

Phone

(716) 435-0020

Specialties & licenses 1

Addresses

Other names 1

• Green Pastures Still Waters Massage Therapy & Spa Former legal business name

Part of

Green Pastures Still Waters LLC

Locations

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

{
    "created_epoch": "1576540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576540800000",
    "number": "1467090803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "259 GREENHAVEN TER",
            "city": "TONAWANDA",
            "state": "NY",
            "postal_code": "141505551",
            "telephone_number": "716-435-0020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1413 HERTEL AVE STE 1",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142162831",
            "telephone_number": "716-922-2772"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2720 Eggert Rd",
            "address_purpose": "LOCATION",
            "city": "Tonawanda",
            "state": "NY",
            "postal_code": "141508734",
            "country_code": "US",
            "telephone_number": "716-435-0020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GREEN PASTURES STILL WATERS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GREEN PASTURES STILL WATERS, LLC",
        "enumeration_date": "2019-12-17",
        "last_updated": "2019-12-17",
        "certification_date": "2019-12-17",
        "status": "A",
        "authorized_official_last_name": "ZIMBERG",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "OWNER/LMT",
        "authorized_official_telephone_number": "716-435-0020",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Green Pastures Still Waters Massage Therapy & Spa",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Greater Buffalo United Accountable Care Organization,LLC
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• Rasheed Robert James Greaves, M.D
• Nina Isabella Greco
• Green Wellness NP in Family Health PLLC
• Abigail Green, MD
• Arry L Green, MA
• Ashlea Nicole Green, CPT
• Courtney O Green, LPN

• Massage Therapist in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Massage Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.

Verify at the official NPI Registry.