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Active NPI 1104792118 Individual Practitioner Male Practitioner

Raemell Cherrod Johnson , LMT

Massage Therapist • Kenmore, NY

Professional Overview & Biography Verified Profile Summary

Raemell Johnson, LMT is a registered healthcare professional specializing in Massage Therapist in Kenmore, NY. Practice services are available at 989 KENMORE AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

989 Kenmore Ave

Kenmore, NY 142172924

Telephone 7163359711
Associated Practice Facility / Clinic
🏢 Massage Suite & Spa Inc Facility NPI 1306260229

Specialty Benchmarks & Practice Insights

Comparative analytics for Massage Therapist in Kenmore, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.0 Yrs
Regional Practice Density
27 Specialists

Practicing in Kenmore, NY (3952 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-10-15
Massage Therapist Primary Specialty

NUCC Taxonomy Code: 225700000X

State License NY 034052

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.

Secondary Practice Locations

3850 Seneca St Lowr

West Seneca, NY 142243409

Phone: 7164005142

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

23 Associated Practitioners
NPI 1003165762

Doctor of Chiropractic

Alison Bellows , LMT

Massage Therapist

NPI 1023616620

Licensed Massage Therapist

Magdolyn Mullen

Massage Therapist

NPI 1033705454
Donald Kostorowski

Massage Therapist

NPI 1073086864
Lizabeth Koury , LMT

Massage Therapist

NPI 1194525220

Licensed Massage Therapist

NPI 1245954247

Doctor of Chiropractic

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 15, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location October 15, 2025

Registered at 989 KENMORE AVE, KENMORE, NY 142172924 (Tel: 7163359711)

📍
Updated Business Mailing Address October 15, 2025

Registered at 147 DEERFIELD AVE, BUFFALO, NY 142153024 (Tel: 7164822028)

👤
Provider Name / Credentials Updated October 15, 2025

Recorded as RAEMELL JOHNSON, LMT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 15, 2025

Massage Therapist (License #034052 in NY)

🟢
Initial NPI Registration & Enumeration October 15, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104792118
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 15, 2025
Last Update: October 15, 2025
Sole Proprietor: No

Mailing Address

147 Deerfield Ave

Buffalo, NY 142153024

Phone: 7164822028

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.