NPIMap

Organization Active NPI

MGML, Inc.

  • Physical Therapist
  • Las Vegas, NV
National Provider Identifier
1073839536
Registry record updated Apr 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1689 Issued in NV
Legal business name
MGML, INC.
Practice address
8534 Benidorm Ave
Las Vegas, NV 89178-4806
Phone
(702) 354-5478
Fax
(702) 458-3824
NPI assigned
Apr 8, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2010

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

Authorized official

Name
Michelle Gay Mangaliag Lim, P.T.
Title
President
Phone
(702) 354-5478

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 1689 NV Primary

Addresses

Primary practice location

8534 Benidorm Ave
Las Vegas, NV 89178-4806

Mailing address

8534 Benidorm Ave
Las Vegas, NV 89178-4806
Phone (702) 354-5478

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1270684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270684800000",
    "number": "1073839536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8534 BENIDORM AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891784806",
            "telephone_number": "702-354-5478",
            "fax_number": "702-458-3824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8534 BENIDORM AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891784806",
            "telephone_number": "702-354-5478",
            "fax_number": "702-458-3824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MGML, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-08",
        "last_updated": "2010-04-08",
        "status": "A",
        "authorized_official_last_name": "LIM",
        "authorized_official_first_name": "MICHELLE GAY",
        "authorized_official_middle_name": "MANGALIAG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-354-5478",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "1689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.