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MR. JOHN FREDERICKS LMT
NPI 1184040479
Massage Therapist in Bronx, NY

Active since March 11, 2014
2510 WESTCHESTER AVE, SUITE 110, BRONX, NY 10461(718) 684-3050 Get Directions Write a Review

NPPES record last updated: March 11, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. John Fredericks Lmt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JOHN FREDERICKS LMT (NPI 1184040479) is an individual massage therapist in Bronx, New York, licensed in New York (020375) and active in the NPI registry since March 2014.

NPPES Registry Identity

NPI1184040479
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameMR. JOHN FREDERICKSCredential: LMT
Location Address2510 WESTCHESTER AVE, SUITE 110Bronx, NY 10461-3585
Mailing Address2510 Westchester Ave, Suite 110Bronx, NY 10461-3585 · (718) 684-3050
Phone(718) 684-3050
Sole ProprietorYes
Enumeration DateMarch 11, 2014
✔ NPI 1184040479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed in NY · 020375
Definition
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.
2510 WESTCHESTER AVE, Bronx, NY 10461
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. JULIO CESAR PACHECO JR. M.A., B.E.A.
Specialist
2510 WESTCHESTER AVE, SUITE 102
BRONX, NY 10461
Bronx County (718) 597-5558
MRS. MARLENE HERNANDEZ
Specialist
2510 WESTCHESTER AVE, SUITE 102
BRONX, NY 10461
Bronx County (718) 597-5558
MR. REDOUANE HADI
Specialist
2510 WESTCHESTER AVE, SUITE 102
BRONX, NY 10461
Bronx County (718) 597-5558
ELIZABETH YORK LMSW
Social Worker (Clinical)
2510 WESTCHESTER AVE, SUITE 202
BRONX, NY 10461
Bronx County (718) 824-2792
MS. SUMMER RAE BURNS LMSW
Social Worker
2510 WESTCHESTER AVE
BRONX, NY 10461
Bronx County (718) 824-2792
MS. BRIANNA PAULETTE BROCKMAN
Speech-Language Pathologist
2510 WESTCHESTER AVE, SUITE 102
BRONX, NY 10461
Bronx County (718) 597-5558
JESSICA MARIA AYALA
Case Manager/Care Coordinator
2510 WESTCHESTER AVE, SUITE 102
BRONX, NY 10461
Bronx County (718) 597-5558
THERACARE
Early Intervention Provider Agency
2510 WESTCHESTER AVE, 102
BRONX, NY 10461
Bronx County (718) 597-5558

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Fredericks's NPI number?

The NPI number for John Fredericks is 1184040479. It was assigned to this individual provider in the NPPES registry on March 11, 2014.

Where is John Fredericks located?

John Fredericks practices at 2510 Westchester Ave Suite 110, Bronx, NY 10461. The listed phone number is (718) 684-3050.

What is John Fredericks's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for John Fredericks was last updated on March 11, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.