Individual provider Active NPI

Benjamin Erik Johnson

  • Massage Therapist
  • Syracuse, NY
National Provider Identifier
1548077167
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
022386-01 Issued in NY
Practice address
7293 Buckley Rd Ste 102
Syracuse, NY 13212-2666
Phone
(315) 937-5954
NPI assigned
Dec 17, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

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 022386-01 NY Primary

Addresses

Primary practice location

7293 Buckley Rd Ste 102
Syracuse, NY 13212-2666

Mailing address

4291 Persimmon Path
Liverpool, NY 13090-1933
Phone (315) 569-6735

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

State licenses

LicenseStateTypeSpecialty
022386-01NYMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hand in Health Massage & Wellness LTD Massage Therapist CurrentSince Dec 22, 2024 Accepting new patients

Locations

7293 Buckley Rd
Ste 102
Syracuse, NY 13212
Phone (315) 452-3376

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1734393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734393600000",
    "number": "1548077167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4291 PERSIMMON PATH",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130901933",
            "telephone_number": "315-569-6735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7293 BUCKLEY RD STE 102",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132122666",
            "telephone_number": "315-937-5954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "BENJAMIN",
        "middle_name": "ERIK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-12-17",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "022386-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; 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.