Active NPI
Kevin Neil Bedford, LMT
- Massage Therapist
- New Hartford, NY
National Provider Identifier
1760980478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 011536
- Practice address
- 8387 Seneca Tpke
New Hartford, NY 13413-4957 - Phone
- (315) 794-9554
- NPI assigned
- Jan 28, 2018
- Sex
- Male
- 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 | 011536 | NY | Primary |
Addresses
Primary practice location
8387 Seneca Tpke
New Hartford, NY 13413-4957
Mailing address
8387 Seneca Tpke
New Hartford, NY 13413-4957
Phone (315) 794-9554
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 |
|---|---|---|---|
| 011536 | NY | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1517097600000",
"number": "1760980478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8387 SENECA TPKE",
"city": "NEW HARTFORD",
"state": "NY",
"postal_code": "134134957",
"telephone_number": "315-794-9554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8387 SENECA TPKE",
"city": "NEW HARTFORD",
"state": "NY",
"postal_code": "134134957",
"telephone_number": "315-794-9554"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEDFORD",
"first_name": "KEVIN",
"middle_name": "NEIL",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-01-28",
"last_updated": "2018-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NY",
"license": "011536",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Hartford, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.