Individual provider Active NPI

Stephanie M Hallen, LMT

  • Massage Therapist
  • North Tonawanda, NY
National Provider Identifier
1477465557
Registry record updated Sep 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
011286 Issued in NY
Practice address
1340 Saybrook Ave
North Tonawanda, NY 14120-2359
Phone
(716) 912-0447
NPI assigned
Sep 22, 2026
Last updated
Sep 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2026

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 011286 NY Primary

Addresses

Primary practice location

1340 Saybrook Ave
North Tonawanda, NY 14120-2359

Mailing address

1340 Saybrook Ave
North Tonawanda, NY 14120-2359
Phone (716) 912-0447

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1790035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790035200000",
    "number": "1477465557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 SAYBROOK AVE",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "141202359",
            "telephone_number": "716-912-0447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 SAYBROOK AVE",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "141202359",
            "telephone_number": "716-912-0447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLEN",
        "first_name": "STEPHANIE",
        "middle_name": "M",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-09-22",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "011286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Tonawanda, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.