Green Pastures Still Waters Massage Therapy & Spa

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

018786 Issued in NY

Legal business name

GREEN PASTURES STILL WATERS MASSAGE THERAPY & SPA

Practice address

142 Lorelee Dr
Tonawanda, NY 14150-4325

Phone

(716) 435-0020

NPI assigned

Dec 31, 2014

Last updated

Dec 31, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Laura Louise Zimberg, LMTNPI 1225201437

Title

Owner/LMT

Phone

(716) 435-0020

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Laura Louise Zimberg, LMT

  • Massage Therapist
  • Buffalo, NY
  • NPI 1225201437
  NPD (past) Authorized official

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

{
    "created_epoch": "1419984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419984000000",
    "number": "1568850451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 LORELEE DR",
            "city": "TONAWANDA",
            "state": "NY",
            "postal_code": "141504325",
            "telephone_number": "716-435-0020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 LORELEE DR",
            "city": "TONAWANDA",
            "state": "NY",
            "postal_code": "141504325",
            "telephone_number": "716-435-0020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN PASTURES STILL WATERS MASSAGE THERAPY & SPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-31",
        "last_updated": "2014-12-31",
        "status": "A",
        "authorized_official_last_name": "ZIMBERG",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "OWNER/LMT",
        "authorized_official_telephone_number": "716-435-0020",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "018786",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS LMT LICENSE",
            "identifier": "018786",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI - INDIVIDUAL",
            "identifier": "1225201437",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Graf
• Rebecca Lynn Graham, FNP-BC
• Kimberly Ann Grande, MS
• Mary Gray, RN
• Samantha Gray
• Roseann Green
• Patrick Greene
• Morgan Gregg
• Dionna Griffin
• James Grinchishin

• Massage Therapist in Tonawanda, NY
• Providers in Tonawanda, 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 Dec 31, 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.