Active NPI
Suzanne Anulis-Bardo, LMT
- Massage Therapist
- Rochester, NY
National Provider Identifier
1689744849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 009230-1
- Practice address
- 511 Norton St
Rochester, NY 14621-3417 - Phone
- (585) 507-3938
- NPI assigned
- Nov 8, 2006
- 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 | 009230-1 | NY | Primary |
Addresses
Primary practice location
511 Norton St
Rochester, NY 14621-3417
Mailing address
511 Norton St
Rochester, NY 14621-3417
Phone (585) 507-3938
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009230-1 | Other | NY | 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 |
|---|---|---|---|
| 009230-1 | NY | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283126400000",
"number": "1689744849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "511 NORTON ST",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146213417",
"telephone_number": "585-507-3938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "511 NORTON ST",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146213417",
"telephone_number": "585-507-3938"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANULIS-BARDO",
"first_name": "SUZANNE",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-08",
"last_updated": "2010-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NY",
"license": "009230-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASSAGE THERAPIST",
"identifier": "009230-1",
"state": "NY"
}
],
"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 Aug 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.