Jennifer L McConnell, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

030718 Issued in NY

Practice address

6385 State Route 96 Ste 210
Victor, NY 14564-1404

Phone

(607) 794-7088

NPI assigned

Jul 25, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1658707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658707200000",
    "number": "1912633819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7291 WILLIAMS RD",
            "city": "PRATTSBURGH",
            "state": "NY",
            "postal_code": "148739523",
            "telephone_number": "607-794-7088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6385 STATE ROUTE 96 STE 210",
            "city": "VICTOR",
            "state": "NY",
            "postal_code": "145641404",
            "telephone_number": "607-794-7088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCONNELL",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-25",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "030718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Maxon
• Brooke Marie McAdam, DPT
• Jennifer McAfee
• Kiah Lynn McArthur, MD
• Nancy Marie McCay, BSPT
• Katherine L McDonald, R.N.
• Jayne E McElroy, OT
• Debra Marie McGrath, PT
• John Francis McGuire, MD
• Danielle Marie McKelvie, M.S.

• Massage Therapist in Victor, NY
• Providers in Victor, 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 Jul 25, 2022; 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.