Active NPI
Kaleigh Fitzsimmons, LMT
- Massage Therapist
- Oswego, NY
National Provider Identifier
1659080612
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 032479
- Practice address
- 3 4TH Ave
Oswego, NY 13126-1803 - Phone
- (315) 207-2023
- NPI assigned
- Nov 18, 2022
- Sex
- Female
- Sole proprietor
- No
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 | 032479 | NY | Primary |
Addresses
Primary practice location
3 4TH Ave
Oswego, NY 13126-1803
Mailing address
3 4TH Ave
Oswego, NY 13126-1803
Phone (315) 207-2023
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | N/A |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Flourish Beauty and Spa | Current | Accepting new patients |
Locations
3 4th Ave
Oswego, NY 13126
Phone (315) 207-2023
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinic/Center
- Oswego, NY
- NPI 1063120574
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668729600000",
"number": "1659080612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 4TH AVE",
"city": "OSWEGO",
"state": "NY",
"postal_code": "131261803",
"telephone_number": "315-207-2023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 4TH AVE",
"city": "OSWEGO",
"state": "NY",
"postal_code": "131261803",
"telephone_number": "315-207-2023"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FITZSIMMONS",
"first_name": "KALEIGH",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-11-18",
"last_updated": "2022-11-18",
"certification_date": "2022-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NY",
"license": "032479",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "N/A",
"affiliation": "N",
"address_1": "3 4th Ave",
"city": "Oswego",
"state": "NY",
"country_code": "US",
"postal_code": "131261803",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Oswego, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.