Active NPI
Lawrence Gallagher, LMT
- Massage Therapist
- West Warwick, RI
National Provider Identifier
1154882611
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT01330
- Practice address
- 263 Quaker LN
West Warwick, RI 02893-2122 - Phone
- (401) 615-2355
- NPI assigned
- Mar 27, 2019
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MT01330 | RI | Primary |
Addresses
Primary practice location
263 Quaker LN
West Warwick, RI 02893-2122
Mailing address
263 Quaker LN
West Warwick, RI 02893-2122
Phone (401) 615-2355
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 |
|---|---|---|---|
| MT01330 | RI | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Unique Fitness | Single Specialty | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560211200000",
"number": "1154882611",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "263 QUAKER LN",
"city": "WEST WARWICK",
"state": "RI",
"postal_code": "028932122",
"telephone_number": "401-615-2355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "263 QUAKER LN",
"city": "WEST WARWICK",
"state": "RI",
"postal_code": "028932122",
"telephone_number": "401-615-2355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALLAGHER",
"first_name": "LAWRENCE",
"name_prefix": "Mr.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-03-27",
"last_updated": "2019-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "RI",
"license": "MT01330",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Warwick, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.