Individual provider Active NPI

Gail Popoff, LMT

  • Mechanotherapist
  • Old Lyme, CT
National Provider Identifier
1023323540
Registry record updated Aug 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
MechanotherapistTaxonomy code 172M00000X
License
004522 Issued in CT
Practice address
8 Davis Rd W
Old Lyme, CT 06371-1448
Phone
(860) 227-1731
NPI assigned
Aug 9, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mechanotherapist 172M00000X 004522 CT Primary

Addresses

Primary practice location

8 Davis Rd W
Old Lyme, CT 06371-1448

Mailing address

14 Library LN
Old Lyme, CT 06371-2302
Phone (860) 227-1731

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

LicenseStateTypeSpecialty
004522CTMDMechanotherapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1281312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281312000000",
    "number": "1023323540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 LIBRARY LN",
            "city": "OLD LYME",
            "state": "CT",
            "postal_code": "063712302",
            "telephone_number": "860-227-1731",
            "fax_number": "860-434-3752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 DAVIS RD W",
            "city": "OLD LYME",
            "state": "CT",
            "postal_code": "063711448",
            "telephone_number": "860-227-1731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPOFF",
        "first_name": "GAIL",
        "name_prefix": "Ms.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-09",
        "last_updated": "2010-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "CT",
            "license": "004522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Old Lyme, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.