Active NPI
Kelly Nicole Emerson, L.M.T, P.T.A
- Massage Therapist
- Orchard Park, NY
National Provider Identifier
1831484096
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 019962
- Practice address
- 240 Red Tail
Ste. 3 & 4
Orchard Park, NY 14127-1581 - Phone
- (716) 674-9600
- Fax
- (716) 674-9700
- NPI assigned
- Jun 16, 2011
- 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 | 019962 | NY | Primary |
Addresses
Primary practice location
240 Red Tail
Ste. 3 & 4
Orchard Park, NY 14127-1581
Mailing address
240 Red Tail Dr.
Ste. 3 & 4
Orchard Park, NY 14127
Phone (716) 674-9600
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kirchmyer & Goode Physical Therapists PC | 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.
-
- Physical Therapist
- West Seneca, NY
- NPI 1306925151
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308182400000",
"number": "1831484096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "240 RED TAIL DR.",
"address_2": "STE. 3 & 4",
"city": "ORCHARD PARK",
"state": "NY",
"postal_code": "14127",
"telephone_number": "716-674-9600",
"fax_number": "716-674-9700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "240 RED TAIL",
"address_2": "STE. 3 & 4",
"city": "ORCHARD PARK",
"state": "NY",
"postal_code": "141271581",
"telephone_number": "716-674-9600",
"fax_number": "716-674-9700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EMERSON",
"first_name": "KELLY",
"middle_name": "NICOLE",
"name_prefix": "Mrs.",
"credential": "L.M.T, P.T.A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-16",
"last_updated": "2011-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NY",
"license": "019962",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orchard Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.