MRS. DEIDRE MEDINA L.M.T.
NPI 1942616230
Massage Therapist in Buffalo, NY

Q: What is Deidre Medina's NPI number?

The NPI number for Deidre Medina is 1942616230. It was assigned to this individual provider in the NPPES registry on July 7, 2014.

Q: What is Deidre Medina's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Deidre Medina was last updated on July 7, 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.

Active since July 07, 2014

120 ELLER AVE, BUFFALO, NY 14211(716) 292-6113 Get Directions Write a Review

NPPES record last updated: July 7, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mrs. Deidre Medina L.m.t. NPPES

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

MRS. DEIDRE MEDINA L.M.T. (NPI 1942616230) is an individual massage therapist in Buffalo, New York, licensed in New York (017782) and active in the NPI registry since July 2014.

NPPES Registry Identity

NPI1942616230

Entity TypeIndividualFemale

Primary Taxonomy225700000X

Provider Legal NameMRS. DEIDRE MEDINACredential: L.M.T.

Location Address120 ELLER AVEBuffalo, NY 14211-2115

Mailing Address120 Eller AveBuffalo, NY 14211-2115 · (716) 292-6113

Phone(716) 292-6113

Sole ProprietorYes

Enumeration DateJuly 7, 2014

✔ NPI 1942616230 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 · 017782

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.

120 ELLER AVE, Buffalo, NY 14211

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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 Deidre Medina's NPI number?

The NPI number for Deidre Medina is 1942616230. It was assigned to this individual provider in the NPPES registry on July 7, 2014.

Where is Deidre Medina located?

Deidre Medina practices at 120 Eller Ave, Buffalo, NY 14211. The listed phone number is (716) 292-6113.

What is Deidre Medina'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 Deidre Medina was last updated on July 7, 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.