Individual provider Active NPI

Eileen A. Lorson, LMT

  • Massage Therapist
  • Rochester, NY
National Provider Identifier
1639299381
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
013095-1 Issued in NY
Practice address
720 East Ave
Suite 102
Rochester, NY 14607-2192
Phone
(585) 442-1580
NPI assigned
Mar 29, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 013095-1 NY Primary

Addresses

Primary practice location

720 East Ave
Suite 102
Rochester, NY 14607-2192

Mailing address

1885 Dublin Rd
Penfield, NY 14526-1930
Phone (585) 377-0680

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
013095-1NYMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639299381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1885 DUBLIN RD",
            "city": "PENFIELD",
            "state": "NY",
            "postal_code": "145261930",
            "telephone_number": "585-377-0680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 EAST AVE",
            "address_2": "SUITE 102",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146072192",
            "telephone_number": "585-442-1580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LORSON",
        "first_name": "EILEEN",
        "middle_name": "A.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "013095-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.