KARA ELISABETH SHOSTACK (NPI# 1053800128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053800128 |
| Entity Type | Individual |
| Full Name | KARA ELISABETH SHOSTACK |
| Credential | LMT |
| Practice Address |
2605 Brewerton Rd Mattydale NY 13211-1147 |
| Practice Telephone | 3154559355 |
| Practice Fax Number | 3154552037 |
| Enumeration Date | 2018-05-04 |
| Last Update Date | 2018-05-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 030851 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2605 BREWERTON RD |
| City | MATTYDALE |
| State | NY |
| Zip Code | 13211-1147 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215044201 | Clinton Charles Conger | Chiropractor | 2605 Brewerton Rd, Mattydale, NY 13211-1147 | 2006-08-24 |
| 1962055954 | Corey Smith | Massage Therapist | 2605 Brewerton Rd, Mattydale, NY 13211-1147 | 2019-07-19 |
| 1306316484 | Samantha Marie Rawson | Massage Therapist | 2605 Brewerton Rd, Mattydale, NY 13211-1147 | 2018-11-30 |
| 1447757950 | Tiffani Lynn Rombach | Massage Therapist | 2605 Brewerton Rd, Mattydale, NY 13211-1147 | 2018-04-11 |
| 1114445970 | Kyle Mcauliffe | Massage Therapist | 2605 Brewerton Rd, Mattydale, NY 13211-1147 | 2017-08-31 |
| 1821520891 | Elizabeth Daniel | Massage Therapist | 2605 Brewerton Rd, Mattydale, NY 13211-1147 | 2017-03-29 |
| 1043604036 | Bethany Gratien | Community Health Worker | 2605 Brewerton Rd, Mattydale, NY 13211-1147 | 2015-03-27 |
| 1821415738 | Kurt Mcardell | Massage Therapist | 2605 Brewerton Rd, Mattydale, NY 13211-1147 | 2014-03-28 |
| 1821427873 | Emily Alfieri | Massage Therapist | 2605 Brewerton Rd, Mattydale, NY 13211-1147 | 2013-11-09 |
| 1881028587 | Nicole French | Homeopath | 2605 Brewerton Rd, Mattydale, NY 13211-1147 | 2013-08-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154692259 | Elizabeth Mitchell | Massage Therapist | 2605 Brewerton Roadd Lin, A Touch Above, Mattydale, NY 13211 | 2012-01-20 |
| 1265616189 | James Laurence Devine | Pharmacist | 2616 Brewerton Rd, Mattydale, NY 13211 | 2007-12-27 |
| 1770605784 | John Palazzoli | Pharmacist | 2803 Brewerton Rd, Mattydale, NY 13211-1003 | 2007-04-03 |
| 1407283161 | Andrea Marie Rubin | Pharmacist | 2803 Brewerton Rd, Mattydale, NY 13211-1003 | 2013-09-26 |
| 1689007585 | Justin Christopher Acker | Pharmacist | 2803 Brewerton Rd, Mattydale, NY 13211-1003 | 2013-08-14 |
| 1538190681 | K Mart Corp | Pharmacy | 2803 Brewerton Rd, Mattydale, NY 13211-1003 | 2006-07-06 |
| 1538268891 | Eckerd Corporation | Durable Medical Equipment & Medical Supplies | 2616 Brewerton Road, Mattydale, NY 13211-1202 | 2006-09-22 |
| 1063936185 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2616 Brewerton Rd, Mattydale, NY 13211-1202 | 2017-07-31 |
| 1154506723 | Shelley Jean Gallo | Pharmacist | 2616 Brewerton Rd, Mattydale, NY 13211-1202 | 2008-01-02 |
| 1477796159 | Vincent J. Scalisi | Chiropractor | 126 Campbell Rd # 1, Mattydale, NY 13211-1204 | 2009-04-11 |
| Find all providers in zip 13211 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154692259 | Elizabeth Mitchell | Massage Therapist | 2605 Brewerton Roadd Lin, A Touch Above, Mattydale, NY 13211 | 2012-01-20 |
| 1962055954 | Corey Smith | Massage Therapist | 2605 Brewerton Rd, Mattydale, NY 13211-1147 | 2019-07-19 |
| 1306316484 | Samantha Marie Rawson | Massage Therapist | 2605 Brewerton Rd, Mattydale, NY 13211-1147 | 2018-11-30 |
| 1447757950 | Tiffani Lynn Rombach | Massage Therapist | 2605 Brewerton Rd, Mattydale, NY 13211-1147 | 2018-04-11 |
| 1114445970 | Kyle Mcauliffe | Massage Therapist | 2605 Brewerton Rd, Mattydale, NY 13211-1147 | 2017-08-31 |
| 1821520891 | Elizabeth Daniel | Massage Therapist | 2605 Brewerton Rd, Mattydale, NY 13211-1147 | 2017-03-29 |
| 1821415738 | Kurt Mcardell | Massage Therapist | 2605 Brewerton Rd, Mattydale, NY 13211-1147 | 2014-03-28 |
| 1821427873 | Emily Alfieri | Massage Therapist | 2605 Brewerton Rd, Mattydale, NY 13211-1147 | 2013-11-09 |
| 1811330533 | Alisha Calkins | Massage Therapist | 2605 Brewerton Rd, Mattydale, NY 13211-1147 | 2013-04-11 |
| 1487997276 | Melissa S Mcgloun | Massage Therapist | 2605 Brewerton Rd, A Touch Above, Mattydale, NY 13211 | 2013-04-01 |
| Find all providers in MATTYDALE | ||||
Please comment or provide details below to improve the information on KARA ELISABETH SHOSTACK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.