Individual provider Active NPI

Melissa S McGloun, L.M.T

  • Massage Therapist
  • Mattydale, NY
National Provider Identifier
1487997276
Registry record updated Apr 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
027048 Issued in NY
Practice address
2605 Brewerton Rd
A Touch Above
Mattydale, NY 13211
Phone
(315) 455-9355
NPI assigned
Apr 1, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2014

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 027048 NY Primary

Addresses

Primary practice location

2605 Brewerton Rd
A Touch Above
Mattydale, NY 13211

Mailing address

5111 W Genesee St
Melissa'S Healing Hands
Camillus, NY 13031-2357
Phone (315) 418-2353

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

NPI Registry JSON

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

{
    "created_epoch": "1364774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398297600000",
    "number": "1487997276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5111 W GENESEE ST",
            "address_2": "MELISSA'S HEALING HANDS",
            "city": "CAMILLUS",
            "state": "NY",
            "postal_code": "130312357",
            "telephone_number": "315-418-2353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 BREWERTON RD",
            "address_2": "A TOUCH ABOVE",
            "city": "MATTYDALE",
            "state": "NY",
            "postal_code": "13211",
            "telephone_number": "315-455-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGLOUN",
        "first_name": "MELISSA",
        "middle_name": "S",
        "credential": "L.M.T",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-01",
        "last_updated": "2014-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "027048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mattydale, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2014; 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.