Active NPI
Colleen Baxter
- Massage Therapist
- Fairport, NY
National Provider Identifier
1952886533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 030393
- Practice address
- 142 Village LNDG
Fairport, NY 14450-1804 - Phone
- (585) 346-1539
- NPI assigned
- Sep 28, 2018
- Last updated
- Sep 28, 2018
- 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 | 030393 | NY | Primary |
Addresses
Primary practice location
142 Village LNDG
Fairport, NY 14450-1804
Mailing address
35 Treetop Dr
Fairport, NY 14450-3358
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": "1538092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538092800000",
"number": "1952886533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 TREETOP DR",
"city": "FAIRPORT",
"state": "NY",
"postal_code": "144503358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "142 VILLAGE LNDG",
"city": "FAIRPORT",
"state": "NY",
"postal_code": "144501804",
"telephone_number": "585-346-1539"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAXTER",
"first_name": "COLLEEN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-09-28",
"last_updated": "2018-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NY",
"license": "030393",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairport, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.