David Gassner, LMT, CLT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

009561 Issued in CT

Practice address

325 Main St S
Southbury, CT 06488-4230

Phone

(203) 707-1013

NPI assigned

Dec 3, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Optimum Performance Therapeutic Massage & Bodywork LLC

  • Massage Therapist
  • Southbury, CT
  • NPI 1699326298
  NPD Authorized official

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

{
    "created_epoch": "1575331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666828800000",
    "number": "1023655693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 WHITE GATE RD",
            "city": "OXFORD",
            "state": "CT",
            "postal_code": "064781502",
            "telephone_number": "203-885-3331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 MAIN ST S",
            "city": "SOUTHBURY",
            "state": "CT",
            "postal_code": "064884230",
            "telephone_number": "203-707-1013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GASSNER",
        "first_name": "DAVID",
        "credential": "LMT, CLT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-03",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CT",
            "license": "009561",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "009561",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Massage Therapist in Southbury, CT
• Providers in Southbury, CT by specialty
• Massage Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2022; 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.