MARY MASTERSON (NPI# 1679606875) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679606875 |
| Entity Type | Individual |
| Full Name | MARY MASTERSON |
| Credential | LMT |
| Practice Address |
24 Pine St Ofc East Aurora NY 14052-1828 |
| Mailing Address |
33 Longmeadow Dr East Aurora NY 14052-1519 |
| Practice Telephone | 7166522644 |
| Practice Fax Number | 7166871184 |
| Mailing Telephone | 7166522644 |
| Mailing Fax Number | 7166871184 |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 011387-1 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891940052 | Mary Denise Masterson | Counselor | 6150 Orr Springs Rd, Ukiah, CA 95482-9032 | 2008-12-01 |
| 1982654893 | Mary M Masterson | Physician Assistant | 4940 Eastern Ave, Baltimore, MD 21224-2735 | 2006-05-11 |
| 1568459964 | Mary Michelle Masterson | Nurse Practitioner | 5950 University Ave, Ste 151, West Des Moines, IA 50266 | 2005-09-30 |
| Street Address |
24 PINE ST OFC |
| City | EAST AURORA |
| State | NY |
| Zip Code | 14052-1828 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457806960 | Hannah Howard | Case Manager/Care Coordinator | 1268 Blakeley Corners Road, East Aurora, NY 14052 | 2016-08-25 |
| 1982046462 | Susan Lynn Bryant | Specialist/Technologist | 12709 Williston Road, East Aurora, NY 14052 | 2013-07-24 |
| 1265785240 | Diana Wittrock | Licensed Practical Nurse | 1080 N Davis Rd, East Aurora, NY 14052 | 2012-10-16 |
| 1437468162 | Gerard Earlwyn Schultz | Family Medicine | 351 Girdle Rd., East Aurora, NY 14052 | 2010-09-29 |
| 1386969541 | Frederick Carl Nuessle | Family Medicine | 38 Elm St., East Aurora, NY 14052 | 2010-03-31 |
| 1730301409 | Alysia Theresa Plewa | Massage Therapist | 90 Hamburg Street, Massage Works, East Aurora, NY 14052 | 2007-05-03 |
| 1982823647 | Hope C Rogers | Massage Therapist | 90 Hamburg St, Massage Works, East Aurora, NY 14052 | 2007-04-24 |
| 1235256413 | Robert R Meisner | Dentist | 250 Quaker Rd, East Aurora, NY 14052 | 2007-03-23 |
| 1578601589 | Michelle M. Myka | Massage Therapist | 552 Linden Street, East Aurora, NY 14052 | 2007-02-02 |
| 1689754525 | Westermeier & Martin Dental Care Pllc | Dentist | 950 East Main Street, East Aurora, NY 14052 | 2006-10-16 |
| Find all providers in zip 14052 | ||||
| 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 |
|---|---|---|---|---|
| 1639661911 | Christine Melissa Walczyk | Massage Therapist | 500 Buffalo Rd, East Aurora, NY 14052-9465 | 2018-06-03 |
| 1164964623 | Lisbeth Shepard | Massage Therapist | 451 North St, East Aurora, NY 14052-1413 | 2016-11-14 |
| 1073793386 | Pamela S.r. Williams | Massage Therapist | 1620 Billington Rd, 1620 Billington Rd., East Aurora, NY 14052-9453 | 2007-11-05 |
| 1730301409 | Alysia Theresa Plewa | Massage Therapist | 90 Hamburg Street, Massage Works, East Aurora, NY 14052 | 2007-05-03 |
| 1982823647 | Hope C Rogers | Massage Therapist | 90 Hamburg St, Massage Works, East Aurora, NY 14052 | 2007-04-24 |
| 1578601589 | Michelle M. Myka | Massage Therapist | 552 Linden Street, East Aurora, NY 14052 | 2007-02-02 |
| 1396381588 | Valerie Sauers | Massage Therapist | 90 Hamburg St, East Aurora, NY 14052-2140 | 2019-11-21 |
| 1205496247 | Amanda Kline | Massage Therapist | 90 Hamburg Street, East Aurora, NY 14052 | 2019-06-20 |
| 1447718945 | Janine Desmond | Massage Therapist | 90 Hamburg St, East Aurora, NY 14052-2140 | 2019-03-04 |
| 1235616038 | Samantha Heinaman | Massage Therapist | 484 Main St, East Aurora, NY 14052-1716 | 2018-07-24 |
| Find all providers in EAST AURORA | ||||
| City | EAST AURORA |
| Zip Code | 14052 |
Please comment or provide details below to improve the information on MARY MASTERSON.
| 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.