Individual provider Active NPI

Carey Robin Leibring, LMT

  • Massage Therapist
  • Alden, NY
National Provider Identifier
1619666567
Registry record updated May 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
032554 Issued in NY
Practice address
11861 Broadway St
Alden, NY 14004-9563
Phone
(716) 449-8674
NPI assigned
May 5, 2023
Sex
Female
Sole proprietor
Yes

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

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 032554 NY Primary

Addresses

NPPES NPI Registry

Primary practice location

11861 Broadway St
Alden, NY 14004-9563

Mailing address

562 Cayuga Creek Rd
Alden, NY 14004-8702
Phone (716) 553-3338

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 5, 2023.

{
    "created_epoch": "1683244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683244800000",
    "number": "1619666567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "562 CAYUGA CREEK RD",
            "city": "ALDEN",
            "state": "NY",
            "postal_code": "140048702",
            "telephone_number": "716-553-3338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11861 BROADWAY ST",
            "city": "ALDEN",
            "state": "NY",
            "postal_code": "140049563",
            "telephone_number": "716-449-8674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEIBRING",
        "first_name": "CAREY",
        "middle_name": "ROBIN",
        "name_prefix": "Mrs.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-05",
        "last_updated": "2023-05-05",
        "certification_date": "2023-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "032554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alden, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2023; 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.