Active NPI
Theresa M Derose, LMT
- Massage Therapist
- Cheektowaga, NY
National Provider Identifier
1982997888
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 018335-1
- Practice address
- 704 Beach Rd
Cheektowaga, NY 14225-1756 - Phone
- (716) 866-4452
- Fax
- (716) 632-2492
- NPI assigned
- May 25, 2011
- 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 | 018335-1 | NY | Primary |
Addresses
Primary practice location
704 Beach Rd
Cheektowaga, NY 14225-1756
Mailing address
704 Beach Rd
Cheektowaga, NY 14225-1756
Phone (716) 866-4452
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 |
|---|---|---|---|
| 018335-1 | NY | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306281600000",
"number": "1982997888",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "704 BEACH RD",
"city": "CHEEKTOWAGA",
"state": "NY",
"postal_code": "142251756",
"telephone_number": "716-866-4452",
"fax_number": "716-632-2492"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "704 BEACH RD",
"city": "CHEEKTOWAGA",
"state": "NY",
"postal_code": "142251756",
"telephone_number": "716-866-4452",
"fax_number": "716-632-2492"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEROSE",
"first_name": "THERESA",
"middle_name": "M",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-05-25",
"last_updated": "2011-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NY",
"license": "018335-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cheektowaga, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 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.