Active NPI
Crystal Woodard, LMT
- Massage Therapist
- Dunkirk, NY
National Provider Identifier
1689201741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 025764-1
- Practice address
- 91 E 4TH St
Dunkirk, NY 14048-2224 - Phone
- (716) 363-0900
- NPI assigned
- Mar 26, 2020
- 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 | 025764-1 | NY | Primary |
Addresses
Primary practice location
91 E 4TH St
Dunkirk, NY 14048-2224
Mailing address
2079 Straight Rd
Forestville, NY 14062-9658
Phone (716) 397-4488
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 025764-1 | Other | NY | LICENSED MASSAGE THERAPIST |
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 |
|---|---|---|---|
| 025764-1 | NY | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585180800000",
"number": "1689201741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2079 STRAIGHT RD",
"city": "FORESTVILLE",
"state": "NY",
"postal_code": "140629658",
"telephone_number": "716-397-4488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "91 E 4TH ST",
"city": "DUNKIRK",
"state": "NY",
"postal_code": "140482224",
"telephone_number": "716-363-0900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODARD",
"first_name": "CRYSTAL",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-03-26",
"last_updated": "2020-03-26",
"certification_date": "2020-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NY",
"license": "025764-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED MASSAGE THERAPIST",
"identifier": "025764-1",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dunkirk, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.