Healthgaps, LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

HEALTHGAPS, LLC

Doing business as

Precision Muscle Recovery

Practice address

4111 East Valley Auto Drive
Suite 201
Mesa, AZ 85206-4605

Phone

(602) 369-0823

NPI assigned

Apr 1, 2011

Last updated

Apr 1, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Brendon M. Hall, LMPNPI 1194014027

Title

President/Member

Phone

(602) 369-0823

Specialties & licenses 2

Addresses

Other names 1

• Precision Muscle Recovery Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brendon M. Hall, M.S.

  • Massage Therapist
  • Mesa, AZ
  • NPI 1194014027
  NPD (past) Authorized official

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

{
    "created_epoch": "1301616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301616000000",
    "number": "1063701860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2670 S. VOYAGER DR., SUITE 101",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852951294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4111 EAST VALLEY AUTO DRIVE",
            "address_2": "SUITE 201",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064605",
            "telephone_number": "602-369-0823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHGAPS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-01",
        "last_updated": "2011-04-01",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "BRENDON",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT/MEMBER",
        "authorized_official_telephone_number": "602-369-0823",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMP"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Precision Muscle Recovery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Healthy Heritage Family Care, LLC.

• Massage Therapist in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Massage Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2011; 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.