Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. John Fredericks, LMT

Individual provider Massage Therapist · NPI 1184040479

Mr. John Fredericks, LMT is a Massage Therapist in Bronx, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2014
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

2510 Westchester Ave Ste 110
Bronx, NY 10461-3585
Phone: (718) 684-3050
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 020375 (NY)

Record details

NPI number1184040479
Entity typeIndividual (Type 1)
GenderMale
Credentials LMT
Sole proprietorYes
NPI enumeratedMarch 11, 2014
Last updated in NPPESMarch 11, 2014

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