Individual provider Active NPI

Jodie Jean Bettcher, L.M.T.

  • Massage Therapist
  • Hamburg, NY
National Provider Identifier
1992918429
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
019317-1 Issued in NY
Practice address
4269 Saint Francis Dr
Hamburg, NY 14075-1724
Phone
(716) 697-0667
NPI assigned
May 8, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 019317-1 NY Primary

Addresses

Primary practice location

4269 Saint Francis Dr
Hamburg, NY 14075-1724

Mailing address

3434 Hickman Rd
Eden, NY 14057-9659
Phone (716) 649-4318

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

LicenseStateTypeSpecialty
019317-1NYMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992918429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3434 HICKMAN RD",
            "city": "EDEN",
            "state": "NY",
            "postal_code": "140579659",
            "telephone_number": "716-649-4318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4269 SAINT FRANCIS DR",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140751724",
            "telephone_number": "716-697-0667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BETTCHER",
        "first_name": "JODIE",
        "middle_name": "JEAN",
        "credential": "L.M.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "019317-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamburg, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.