Active NPI
Kathleen Ann Macdowell, L.M.T.
- Massage Therapist
- Central Square, NY
National Provider Identifier
1790289809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 011826-1
- Practice address
- 544 S Main St
Central Square, NY 13036-9779 - Phone
- (315) 480-4646
- NPI assigned
- Mar 22, 2018
- 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 | 011826-1 | NY | Primary |
Addresses
Primary practice location
544 S Main St
Central Square, NY 13036-9779
Mailing address
544 South Main Street Pob 893
Central Square, NY 13036-0893
Phone (315) 480-4646
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 |
|---|---|---|---|
| 011826-1 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521676800000",
"number": "1790289809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "544 SOUTH MAIN STREET POB 893",
"city": "CENTRAL SQUARE",
"state": "NY",
"postal_code": "130360893",
"telephone_number": "315-480-4646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "544 S MAIN ST",
"city": "CENTRAL SQUARE",
"state": "NY",
"postal_code": "130369779",
"telephone_number": "315-480-4646"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACDOWELL",
"first_name": "KATHLEEN",
"middle_name": "ANN",
"credential": "L.M.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-22",
"last_updated": "2018-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NY",
"license": "011826-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Central Square, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.