SPECIALIZED THERAPEUTIC MASSAGE OF CNY (NPI# 1265841472) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265841472 |
| Entity Type | Organization |
| Organization Name | SPECIALIZED THERAPEUTIC MASSAGE OF CNY |
| Practice Address |
112 Dewitt St Syracuse NY 13203-2890 |
| Mailing Address |
24 Carol Dr Camillus NY 13031-2229 |
| Practice Telephone | 3155693472 |
| Mailing Telephone | 3155693472 |
| Enumeration Date | 2014-08-13 |
| Last Update Date | 2014-08-13 |
| Authorized Official Name | TIMOTHY ANDREW BRAHS (OWNER) |
| Authorized Official Telephone | 3155693472 |
| Authorized Official Credential | LMT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
026057 | NY | Ambulatory Health Care Facilities |
| Street Address |
112 DEWITT ST |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13203-2890 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982693735 | Vincent V Sportelli | Chiropractor | 112 Dewitt St, Syracuse, NY 13203-2890 | 2005-10-14 |
| 1770856502 | Tracy Elizabeth Carmody | Counselor | 112 Dewitt St, Ste 205a, Syracuse, NY 13203-2890 | 2012-02-09 |
| 1700937182 | Joseph Charles Masterleo | Social Worker | 112 Dewitt St, Suite 103, Syracuse, NY 13203-2890 | 2007-01-14 |
| 1891854121 | Susan M Levy | Social Worker | 112 Dewitt St, Ste 203, Syracuse, NY 13203-2890 | 2006-12-06 |
| 1942384573 | Colleen K Felver | Social Worker | 112 Dewitt St, Ste 204, Syracuse, NY 13203 | 2006-10-24 |
| 1144244260 | Eric J Schroeder | Social Worker | 112 Dewitt St, Office 203, Syracuse, NY 13203-2890 | 2006-07-26 |
| 1881676443 | Kathleen Rose Bartell | Psychologist | 112 Dewitt St, Suite 204, Syracuse, NY 13203-2890 | 2005-11-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659998193 | Allison Elizabeth Mills | Social Worker | 1045 James St., Syracuse, NY 13203 | 2020-07-01 |
| 1467004333 | Humanitarian Organization for Multicultural Experiences, Inc. | Psychologist | 831 James Street, Syracuse, NY 13203 | 2019-07-11 |
| 1215405287 | Wellness Therapy Services Lcsw, Pllc | Counselor | Wellness Therapy Services Lcsw, Pllc, 404 Oak St. #200, Syracuse, NY 13203 | 2018-11-08 |
| 1962904912 | Michael Musante | Developmental Therapist | 1045 James Streret, Syracuse, NY 13203 | 2018-03-06 |
| 1811410236 | Lindsey Deborah Sanborn | Nurse Practitioner | 301 Prospect Avenue St. Josephs's Hospital Health Cente, Syracuse, NY 13203 | 2017-07-18 |
| 1497205975 | Phuong Pham | Counselor | 329 North Salina Street, Syracuse, NY 13203 | 2016-10-10 |
| 1942754015 | Shelly Lynn Peters | Nurse Practitioner | 329 N. Salina Street, Helio Health, Syracuse, NY 13203 | 2016-08-06 |
| 1932574217 | Kaleigh Marie Andino | Audiologist | 1001 James Street, Syracuse, NY 13203 | 2015-12-11 |
| 1376889493 | Brenda S Hartman-souder | Social Worker | 526 Oak St., Syracuse, NY 13203 | 2012-12-18 |
| 1386914711 | Steven W Dimarzo | Counselor | 404 Oak St Ste 320, Syracuse, NY 13203 | 2012-01-02 |
| Find all providers in zip 13203 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538657259 | Onondaga Case Management Services Inc. | Clinic/Center | 620 Erie Blvd W Ste 302, Syracuse, NY 13204-2463 | 2018-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174130587 | Buffalo Occupational Therapy Pllc | Clinic/Center | 40 Gardenville Pkwy W Ste 221, West Seneca, NY 14224-1399 | 2020-09-29 |
| 1558970111 | My Teletherapy LLC | Clinic/Center | 6462 231st St, Oakland Gardens, NY 11364-2716 | 2020-07-29 |
| 1841826161 | Health Life Acupuncture Wellness P. C | Clinic/Center | 726 58th St Apt 1, Brooklyn, NY 11220-5174 | 2020-03-18 |
| 1750911632 | Repair Physical Therapy PC | Clinic/Center | 204 East 25th Street, Suite 1, New York, NY 10010 | 2020-01-20 |
| 1104465855 | Daily Service Group Crop | Clinic/Center | 133-04 41st Ave Rear, Flushing, NY 11355-5856 | 2019-12-29 |
| 1801443619 | New York Society for Relief of The Ruptured and Crippled Maintaining T | Clinic/Center | 532-560 West 33rd Street, New York, NY 10001-1301 | 2019-08-26 |
| 1356995153 | Shim Wellness Acupuncture | Clinic/Center | 280 Broadway Ste 2, Newburgh, NY 12550-8203 | 2019-07-30 |
| 1659933695 | Mega Wellness Inc | Clinic/Center | 481 8th Ave # 608, New York, NY 10001-1809 | 2019-06-29 |
| 1053970038 | Kidz In Motion | Clinic/Center | 25 Brookville Ave, Ossining, NY 10562-4513 | 2019-06-12 |
| 1609431576 | Maimonides Bone and Joint Faculty Practice Physical Therapy | Clinic/Center | 6010 Bay Pkwy Fl 1, Brooklyn, NY 11204-6079 | 2019-05-07 |
| 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.