Active NPI
Stephanie L Delahunt, LMT, PTA
- Massage Therapist
- Syracuse, NY
National Provider Identifier
1841464823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 009146
- Practice address
- 2105 W Genesee St
Syracuse, NY 13219-1656 - Phone
- (315) 488-6450
- NPI assigned
- Apr 21, 2008
- 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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 009146 | NY | Primary |
| Physical Therapy Assistant | 225200000X | 002396-1 | NY |
Addresses
Primary practice location
2105 W Genesee St
Syracuse, NY 13219-1656
Mailing address
215 Wynnfield Dr
Syracuse, NY 13219-2924
Phone (315) 488-7685
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 |
|---|---|---|---|
| 009146 | NY | MD | Psychologist |
| 002396-1 | NY | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1231632000000",
"number": "1841464823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 WYNNFIELD DR",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132192924",
"telephone_number": "315-488-7685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2105 W GENESEE ST",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132191656",
"telephone_number": "315-488-6450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELAHUNT",
"first_name": "STEPHANIE",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "LMT, PTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-21",
"last_updated": "2009-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NY",
"license": "009146",
"primary": true
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NY",
"license": "002396-1",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.