Active NPI
David G Munnell, LMT
- Massage Therapist
- Webster, NY
National Provider Identifier
1841509254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 020620-1
- Practice address
- 60 Barrett Dr
Webster, NY 14580-2963 - Phone
- (585) 872-7979
- NPI assigned
- Oct 3, 2010
- 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 | 020620-1 | NY | Primary |
Addresses
Primary practice location
60 Barrett Dr
Webster, NY 14580-2963
Mailing address
18 Old Forge LN
Pittsford, NY 14534-4132
Phone (585) 301-3894
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 |
|---|---|---|---|
| 020620-1 | NY | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1286064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1286064000000",
"number": "1841509254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 OLD FORGE LN",
"city": "PITTSFORD",
"state": "NY",
"postal_code": "145344132",
"telephone_number": "585-301-3894"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 BARRETT DR",
"city": "WEBSTER",
"state": "NY",
"postal_code": "145802963",
"telephone_number": "585-872-7979"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUNNELL",
"first_name": "DAVID",
"middle_name": "G",
"name_prefix": "Mr.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-10-03",
"last_updated": "2010-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NY",
"license": "020620-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Webster, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.