Healthcare Provider Details

I. General information

NPI: 1033823364
Provider Name (Legal Business Name): BARRY OHNMEISS II LMT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/11/2023
Last Update Date: 05/12/2025
Certification Date: 05/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3900 SOUTHWESTERN BLVD SUITE 3
ORCHARD PARK NY
14127-1618
US

IV. Provider business mailing address

1428 BRANT NORTH COLLINS RD
NORTH COLLINS NY
14111-9624
US

V. Phone/Fax

Practice location:
  • Phone: 716-217-1976
  • Fax:
Mailing address:
  • Phone: 716-217-1976
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number024924
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: