Active NPI
Mary Lou Young, LMT
- Massage Therapist
- Jamesville, NY
National Provider Identifier
1851530133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 013872
- Practice address
- 4583 North St
Jamesville, NY 13078-9461 - Phone
- (315) 430-3942
- NPI assigned
- Feb 11, 2009
- Last updated
- Feb 11, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 013872 | NY | Primary |
Addresses
Primary practice location
4583 North St
Jamesville, NY 13078-9461
Mailing address
P.O. Box 236
2814 Gardner Rd
Pompey, NY 13138
Phone (315) 430-3942
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1234310400000",
"number": "1851530133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 236",
"address_2": "2814 GARDNER RD",
"city": "POMPEY",
"state": "NY",
"postal_code": "13138",
"telephone_number": "315-430-3942"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4583 NORTH ST",
"city": "JAMESVILLE",
"state": "NY",
"postal_code": "130789461",
"telephone_number": "315-430-3942"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "MARY LOU",
"name_prefix": "Ms.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-02-11",
"last_updated": "2009-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NY",
"license": "013872",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jamesville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 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.