Tracy Clark-Cherry, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

005315-2 Issued in NY

Practice address

10 Main St
Mosaic Bodyworks, Water Street Market, Suite 325
New Paltz, NY 12561-1762

Phone

(845) 706-6692

NPI assigned

Nov 16, 2012

Last updated

Nov 16, 2012By 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

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": "1353024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353024000000",
    "number": "1497099295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 HORSENDEN RD",
            "city": "NEW PALTZ",
            "state": "NY",
            "postal_code": "125613132",
            "telephone_number": "845-706-6692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MAIN ST",
            "address_2": "MOSAIC BODYWORKS, WATER STREET MARKET, SUITE 325",
            "city": "NEW PALTZ",
            "state": "NY",
            "postal_code": "125611762",
            "telephone_number": "845-706-6692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK-CHERRY",
        "first_name": "TRACY",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-16",
        "last_updated": "2012-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "005315-2",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Massage Therapist in New Paltz, NY
• Providers in New Paltz, 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 Nov 16, 2012; 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.