Active NPI
Gail Popoff, LMT
- Mechanotherapist
- Old Lyme, CT
National Provider Identifier
1023323540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mechanotherapist
- License
- 004522
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 004522 | CT | MD | Mechanotherapist |
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.