Breanna Friedersdorf, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

025038-01 Issued in NY

Practice address

501 Delaware Ave
Buffalo, NY 14202-1303

Phone

(716) 909-4614

NPI assigned

Feb 12, 2024

Last updated

Feb 12, 2024By 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 2

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": "1707696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707696000000",
    "number": "1568226355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5439 STILWELL RD",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140755816",
            "telephone_number": "716-909-4614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 DELAWARE AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142021303",
            "telephone_number": "716-909-4614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEDERSDORF",
        "first_name": "BREANNA",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-12",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "025038-01",
            "primary": true
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "NY",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Frey, RT
• Patrick M Frieary, MD
• Allyson Jeanne Fried, PNP
• Jacob Fried, MD
• Emily S Friedan, M.D.
• Nancy A. Friedmann, R.N.
• Shirley Frieh, MSN, PMHNP-BC
• Angelyn Friend
• Lynne Marie Fries, PA-C
• Sally Lynn Fries

• 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 Feb 12, 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.