Active NPI
Gwendolyn Abrahamson
- Massage Therapist
- Mesa, AZ
National Provider Identifier
1013416841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT09144
- Practice address
- 6302 E McKellips Rd
Mesa, AZ 85215-2821 - Phone
- (602) 295-7828
- NPI assigned
- Feb 7, 2018
- Last updated
- Feb 7, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MT09144 | AZ | Primary |
Addresses
Primary practice location
6302 E McKellips Rd
Mesa, AZ 85215-2821
Mailing address
PO Box 273326
Fort Collins, CO 80527-3326
Phone (866) 996-2772
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT09144 | AZ | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Access Medical Massage, LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Case Management Agency
- Windsor, CO
- NPI 1538600648
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1517961600000",
"number": "1013416841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 273326",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805273326",
"telephone_number": "866-996-2772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6302 E MCKELLIPS RD",
"city": "MESA",
"state": "AZ",
"postal_code": "852152821",
"telephone_number": "602-295-7828"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABRAHAMSON",
"first_name": "GWENDOLYN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-02-07",
"last_updated": "2018-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "AZ",
"license": "MT09144",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.