Active NPI
Michelle M. Myka, L.M.T.
- Massage Therapist
- East Aurora, NY
National Provider Identifier
1578601589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 014932-1
- Practice address
- 552 Linden Street
East Aurora, NY 14052 - Phone
- (716) 604-5081
- NPI assigned
- Feb 2, 2007
- Last updated
- Sep 21, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 014932-1 | NY | Primary |
Addresses
Primary practice location
552 Linden Street
East Aurora, NY 14052
Mailing address
10 Short Drive
Orchard Park, NY 14127
Phone (716) 604-5081
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
| License | State | Type | Specialty |
|---|---|---|---|
| 014932-1 | NY | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348185600000",
"number": "1578601589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 SHORT DRIVE",
"city": "ORCHARD PARK",
"state": "NY",
"postal_code": "14127",
"telephone_number": "716-604-5081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "552 LINDEN STREET",
"city": "EAST AURORA",
"state": "NY",
"postal_code": "14052",
"telephone_number": "716-604-5081"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MYKA",
"first_name": "MICHELLE",
"middle_name": "M.",
"name_prefix": "Ms.",
"credential": "L.M.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-02",
"last_updated": "2012-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NY",
"license": "014932-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Aurora, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.