KATHLEEN PRENDERGAST OTR, LMT NPI 1003003377

Massage Therapist in Springville, NY

Individual Female Massage Therapist

About KATHLEEN PRENDERGAST

Kathleen Prendergast is a provider established in Springville, New York and her medical specialization is massage therapist. The NPI number of Kathleen Prendergast is 1003003377 and was assigned on October 2007. The practitioner's primary taxonomy code is 225700000X with license number 014927-1 (NY). The provider is registered as an individual and her NPI record was last updated 13 years ago.

Kathleen Prendergast is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.

NPI

1003003377

Provider Name KATHLEEN PRENDERGAST OTR, LMT
Provider Location Address210 E MAIN ST SPRINGVILLE, NY 14141
Provider Mailing Address9568 DARIEN RD WEST FALLS, NY 14170
GenderFemale
NPI Entity TypeIndividual
Is Sole Proprietor?Yes
Is Organization Subpart?N/A
Enumeration Date10-01-2007
Last Update Date10-01-2007

Primary Taxonomy

Taxonomy Code225700000X
ClassificationMassage Therapist
TypeRespiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.014927-1
License StateNY
Taxonomy DescriptionAn 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.

Business Address

KATHLEEN PRENDERGAST OTR, LMT
210 E MAIN ST
SPRINGVILLE, NY
ZIP 14141
Phone: (716) 560-7315

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Mailing Address

KATHLEEN PRENDERGAST OTR, LMT
9568 DARIEN RD
WEST FALLS, NY
ZIP 14170
Phone: (716) 560-7315

Other Providers at the same location


The following 9 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1194725275DR. PRISCILLA K DALE M.D.
Individual
Internal Medicine210 E MAIN ST
SPRINGVILLE, NY 14141
(716) 592-3600
1255313755DR. ANDREW J BERGER MD
Individual
General Practice210 E MAIN ST
SPRINGVILLE, NY 14141
(716) 592-3635
1386688307MR. DOUGLAS EVAN TANNER PHYSICIAN ASSISTANT
Individual
Physician Assistant210 E MAIN ST
SPRINGVILLE, NY 14141
(716) 592-3635
1417939943MR. KENNETH M OSBORN RPAC
Individual
Physician Assistant (Medical)210 E MAIN ST
SPRINGVILLE, NY 14141
(716) 592-3614
1528069085DR. WILLIAM JOSEPH WNUK M.D.
Individual
Internal Medicine210 E MAIN ST
SPRINGVILLE, NY 14141
(716) 592-3635
1821070970DR. EDWIN HEIDELBERGER MD PHD
Individual
Internal Medicine210 E MAIN ST
SPRINGVILLE, NY 14141
(716) 592-3635
1841273166DR. LORI D HUDZINSKI MD
Individual
Family Medicine210 E MAIN ST
SPRINGVILLE, NY 14141
(716) 592-3635
1871510636CONCORD MEDICAL GROUP PC
Organization
Specialist210 E MAIN ST
SPRINGVILLE, NY 14141
(716) 592-3600
1902998974 MELISSA FANTON RPA-C
Individual
Physician Assistant210 E MAIN ST
SPRINGVILLE, NY 14141
(716) 592-3600

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.