MR. FLETCHER REID MATTHES (NPI# 1114073558) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114073558 |
| Entity Type | Individual |
| Full Name | MR. FLETCHER REID MATTHES |
| Credential | L.M.T. |
| Practice Address |
2200 Penfield Rd At Lifetime Fitness Penfield NY 14526-1711 |
| Mailing Address |
Po Box 184 Fairport NY 14450-0184 |
| Practice Telephone | 5857322032 |
| Mailing Telephone | 5857322032 |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 017332 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2200 PENFIELD RD AT LIFETIME FITNESS |
| City | PENFIELD |
| State | NY |
| Zip Code | 14526-1711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770576209 | Rachel D Yankey | Family Medicine | 2200 Penfield Rd, Penfield, NY 14526-1711 | 2005-08-30 |
| 1205350659 | Kayleigh Matesic | Pharmacist | 2200 Penfield Rd, Penfield, NY 14526-1711 | 2017-07-27 |
| 1083022073 | Tracy Wemple | Registered Nurse | 2200 Penfield Rd, Penfield, NY 14526-1711 | 2014-07-23 |
| 1811248784 | Ola Mscichowski | Family Medicine | 2200 Penfield Rd, Penfield, NY 14526-1711 | 2012-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740791839 | Lori A Teller-mcdonald | Counselor | 15 Hidden Meadow, Penfield, NY 14526 | 2017-10-17 |
| 1952825028 | Theresa J Maher | Social Worker | 52 Liberty Street, Penfield, NY 14526 | 2017-08-01 |
| 1669894291 | Joseph Muscarella | Occupational Therapist | 22 Meadowlark Dr., Penfield, NY 14526 | 2014-01-16 |
| 1558645051 | Kathleen B Harris | Registered Nurse | 1750 Scribner Road, Penfield, NY 14526 | 2011-10-03 |
| 1073834115 | Lauren N O'meal | Registered Nurse | 481 Penbrooke Drive, Suite 6, Penfield, NY 14526 | 2010-06-11 |
| 1033365515 | Tiffany Marie Spring Welsher | Speech-Language Pathologist | 58 Dublin Heights Rd, Penfield, NY 14526 | 2008-08-15 |
| 1447358064 | Cvs Albany LLC | Pharmacy | 2200 Penfield Rd Penn Fair Plz, Penfield, NY 14526 | 2006-09-20 |
| 1295837185 | Gloria Nichols | Dentist | 2041 Penfield Rd, Penfield, NY 14526 | 2006-09-02 |
| 1023029402 | Robert Ciccone | Dentist | 2094 Five Mile Line Rd, Penfield, NY 14526 | 2006-08-10 |
| 1891732608 | Joselito Gaspar Delossantos | Pharmacist | 2200 Penfield Road, Cvs Pharmacy #545, Penfield, NY 14526 | 2006-06-01 |
| Find all providers in zip 14526 | ||||
| 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 |
|---|---|---|---|---|
| 1255822821 | Sarah Swartzenberg | Massage Therapist | 43 Willow Pond Way Ste 109, Penfield, NY 14526-2638 | 2018-05-19 |
| 1326233123 | Kathleen W Levea | Massage Therapist | 17 Courtshire Ln, Penfield, NY 14526-2673 | 2007-09-14 |
| 1396786513 | Vikki Kolb | Massage Therapist | 2060 Fairport Nine Mile Pt Rd, Suite 403, Penfield, NY 14526-1749 | 2006-06-09 |
| 1205319779 | Laura Grace Aikens | Massage Therapist | 43 Willow Pond Way Ste 109, Penfield, NY 14526-2638 | 2018-09-11 |
| 1588807770 | David Maurice Sell | Massage Therapist | 481 Penbrooke Dr, Suite 5, Penfield, NY 14526-2044 | 2009-04-17 |
| 1215183223 | Kolb Corporation | Massage Therapist | 481 Penbrooke Dr, Suite 5, Penfield, NY 14526-2044 | 2008-08-10 |
| 1134247125 | Teresa Ann Magnotta | Massage Therapist | 401 Penbrooke Dr, Bldg 2 Ste C, Penfield, NY 14526-2041 | 2007-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548861354 | Stephen Quinn | Massage Therapist | 72 Steuben Rd, Garrison, NY 10524-7417 | 2020-11-06 |
| 1750982567 | Moises Payero | Massage Therapist | 407 Beach 20th St Apt 3b, Far Rockaway, NY 11691-3638 | 2020-11-06 |
| 1447851589 | Emily Nicole Bagnasco | Massage Therapist | 827 S 5th St, Lindenhurst, NY 11757-5625 | 2020-11-04 |
| 1053912162 | Chanel Marie Poole | Massage Therapist | 1234 Abbott Rd Ste 230, Lackawanna, NY 14218-1946 | 2020-11-04 |
| 1144821562 | Deping Song | Massage Therapist | 4002 Bowne St, #228, Flushing, NY 11354-6142 | 2020-11-03 |
| 1881295400 | Yoshiko Yamamoto | Massage Therapist | 4914 43rd Ave Apt 3, Woodside, NY 11377-4598 | 2020-11-02 |
| 1780285254 | Devante Quareed Thompson | Massage Therapist | 8944 Metropolitan Ave # 89-44, Rego Park, NY 11374-5331 | 2020-11-02 |
| 1396345062 | Amy Nadine Baker | Massage Therapist | 611 Broadway Rm 814, New York, NY 10012-0032 | 2020-10-30 |
| 1972102655 | Maria Carmen Tapia | Massage Therapist | 14749 72nd Dr Apt 3d, Flushing, NY 11367-2533 | 2020-10-22 |
| 1346849262 | Reddy for Acupuncture | Massage Therapist | 2807 Merrick Rd, Bellmore, NY 11710-5724 | 2020-10-21 |
| Find all providers with the same taxonomy | ||||
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| 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.