Active NPI
Erin Zwack, LMT
- Massage Therapist
- Kenmore, NY
National Provider Identifier
1770827545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 022871-1
- Practice address
- 2982 Delaware Ave Rear
Kenmore, NY 14217-2324 - Phone
- (716) 877-2858
- Fax
- (716) 877-2859
- NPI assigned
- Nov 19, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Reflexologist | 173C00000X | 0904 | NY | |
| Massage Therapist | 225700000X | 022871-1 | NY | Primary |
Addresses
Primary practice location
2982 Delaware Ave Rear
Kenmore, NY 14217-2324
Mailing address
2982 Delaware Ave Rear
Kenmore, NY 14217-2324
Phone (716) 877-2858
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 |
|---|---|---|---|
| 0904 | NY | MD | Reflexologist |
| 022871-1 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Purely Connected, LLC | Reflexologist | Past | Accepting new patients |
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1399334400000",
"number": "1770827545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2982 DELAWARE AVE REAR",
"city": "KENMORE",
"state": "NY",
"postal_code": "142172324",
"telephone_number": "716-877-2858",
"fax_number": "716-877-2859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2982 DELAWARE AVE REAR",
"city": "KENMORE",
"state": "NY",
"postal_code": "142172324",
"telephone_number": "716-877-2858",
"fax_number": "716-877-2859"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZWACK",
"first_name": "ERIN",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-11-19",
"last_updated": "2014-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "173C00000X",
"taxonomy_group": "",
"desc": "Reflexologist",
"state": "NY",
"license": "0904",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NY",
"license": "022871-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kenmore, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.