Active NPI
Mary Beth Kawaler, LMT
- Massage Therapist
- Amherst, NY
National Provider Identifier
1932262375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 16696-1
- Practice address
- 3915 Sheridan Drive
Amherst, NY 14226 - Phone
- (716) 632-7465
- Fax
- (716) 632-7464
- NPI assigned
- Dec 18, 2006
- Sex
- Female
- Sole proprietor
- No
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 | 16696-1 | NY | Primary |
Addresses
Primary practice location
3915 Sheridan Drive
Amherst, NY 14226
Mailing address
3915 Sheridan Drive
Amherst, NY 14226
Phone (716) 632-7465
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00355266 | Medicaid | NY |
Other names 1
- Mary Beth Glian
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 |
|---|---|---|---|
| 16696-1 | NY | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314144000000",
"number": "1932262375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3915 SHERIDAN DRIVE",
"city": "AMHERST",
"state": "NY",
"postal_code": "14226",
"telephone_number": "716-632-7465",
"fax_number": "716-632-7464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3915 SHERIDAN DRIVE",
"city": "AMHERST",
"state": "NY",
"postal_code": "14226",
"telephone_number": "716-632-7465",
"fax_number": "716-632-7464"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAWALER",
"first_name": "MARY BETH",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-18",
"last_updated": "2011-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NY",
"license": "16696-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00355266",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MARY BETH",
"last_name": "GLIAN",
"credential": "LMT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Amherst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.