KATHLEEN PRENDERGAST OTR, LMT NPI 1003003377

Massage Therapist in Springville, NY

About KATHLEEN PRENDERGAST

Kathleen Prendergast is a provider in Springville, NY. The NPI number assigned to this provider is 1003003377. The practitioner's primary taxonomy code is Massage Therapist (225700000X). The provider is registered as an individual and their NPI record was last updated 10 years ago.

NPI1003003377 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Name KATHLEEN PRENDERGAST OTR, LMT
Provider Location Address210 E MAIN ST SPRINGVILLE, NY 14141 Additional informationCallout TooltipProvider 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 Address9568 DARIEN RD WEST FALLS, NY 14170 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
GenderFemale
NPI Entity TypeIndividual Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
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).
Is Sole Proprietor?Yes
Is Organization Subpart?N/A Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. 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.
Enumeration Date10-01-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date10-01-2007 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

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

Primary Taxonomy

Taxonomy Code225700000X Additional informationCallout TooltipPrimary 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.
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.

Map Location


KATHLEEN PRENDERGAST OTR, LMT address is 210 E MAIN ST SPRINGVILLE, NY 14141

Other Providers at the same location


The following 10 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
1376862383 JAMIE LYNN SZCZEPANSKI M.D.
Individual
Obstetrics & Gynecology210 E MAIN ST
SPRINGVILLE, NY 14141
(716) 592-3600
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