Individual provider Active NPI

Nadezhda Banaga, LMT

  • Mechanotherapist
  • Westminster, CO
National Provider Identifier
1093058281
Registry record updated Apr 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
MechanotherapistTaxonomy code 172M00000X
License
MT0008422 Issued in CO
Practice address
12001 Tejon St
#122
Westminster, CO 80234-2310
Phone
(303) 464-0110
NPI assigned
Apr 5, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mechanotherapist 172M00000X MT0008422 CO Primary

Addresses

Primary practice location

12001 Tejon St
#122
Westminster, CO 80234-2310

Mailing address

11727 Fenton St
Westminster, CO 80020-5970
Phone (720) 341-7998

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
MT0008422COMDMechanotherapist

NPI Registry JSON

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

{
    "created_epoch": "1365120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365120000000",
    "number": "1093058281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11727 FENTON ST",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800205970",
            "telephone_number": "720-341-7998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12001 TEJON ST",
            "address_2": "#122",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "802342310",
            "telephone_number": "303-464-0110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANAGA",
        "first_name": "NADEZHDA",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-05",
        "last_updated": "2013-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "CO",
            "license": "MT0008422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2013; 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.