Colleen Krysten Maloney, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

031567 Issued in NY

Practice address

8111 Sheridan Dr
Williamsville, NY 14221-6025

Phone

(716) 320-1222

NPI assigned

Jan 28, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1580169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580169600000",
    "number": "1851922983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8111 SHERIDAN DR",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142216025",
            "telephone_number": "716-320-1222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8111 SHERIDAN DR",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142216025",
            "telephone_number": "716-320-1222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALONEY",
        "first_name": "COLLEEN",
        "middle_name": "KRYSTEN",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-28",
        "last_updated": "2020-01-28",
        "certification_date": "2020-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "031567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Williamsville",
            "affiliation": "N",
            "address_1": "8111 Sheridan Dr",
            "city": "Williamsville",
            "state": "NY",
            "country_code": "US",
            "postal_code": "142216025",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Williamsville",
            "affiliation": "N",
            "address_1": "8111 Sheridan Dr",
            "city": "Williamsville",
            "state": "NY",
            "country_code": "US",
            "postal_code": "142216025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Barry T Malin, M.D.
• Erika M Malinowski, R.N., PMHNP-BC
• Cynthia Malkiewicz, LPN
• Rajitha Mallela, MBBS
• Erinn Malone, LPN
• Juliet J Maloney, LCSW-R
• Samantha Kathryn Maloney
• Asif Mamdani, OT
• Sameer Shamoon Mamnoon, M.D.
• Brandon Paul Mancuso, D.C.

• Massage Therapist in Williamsville, NY
• Providers in Williamsville, NY by specialty
• Massage Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.