Individual provider Active NPI

Colleen Marie Kent, L.M.T

  • Massage Therapist
  • Allegany, NY
National Provider Identifier
1598910341
Registry record updated Nov 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
011889-1 Issued in NY
Practice address
80 N 4TH St
Suite 230
Allegany, NY 14706-1067
Phone
(716) 307-0377
NPI assigned
Nov 20, 2008
Last updated
Nov 20, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2008

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 011889-1 NY Primary

Addresses

Primary practice location

80 N 4TH St
Suite 230
Allegany, NY 14706-1067

Mailing address

80 N 4TH St
Suite 230
Allegany, NY 14706-1067
Phone (716) 307-0377

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
011889-1NYMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1227139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227139200000",
    "number": "1598910341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 N 4TH ST",
            "address_2": "SUITE 230",
            "city": "ALLEGANY",
            "state": "NY",
            "postal_code": "147061067",
            "telephone_number": "716-307-0377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 N 4TH ST",
            "address_2": "SUITE 230",
            "city": "ALLEGANY",
            "state": "NY",
            "postal_code": "147061067",
            "telephone_number": "716-307-0377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENT",
        "first_name": "COLLEEN",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "L.M.T",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-20",
        "last_updated": "2008-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "011889-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allegany, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2008; 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.