Active NPI
Gail Marie Mogan, LMT
- Mechanotherapist
- East Sandwich, MA
National Provider Identifier
1164657292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mechanotherapist
- License
- 2635
- Practice address
- 445 Route 6a
2ND Floor Suite
East Sandwich, MA 02537-1477 - Phone
- (508) 888-8227
- Fax
- (508) 888-8227
- NPI assigned
- May 19, 2009
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Mechanotherapist | 172M00000X | 2635 | MA | Primary |
Addresses
Primary practice location
445 Route 6a
2ND Floor Suite
East Sandwich, MA 02537-1477
Mailing address
445 Route 6a
2ND Floor Suite
East Sandwich, MA 02537-1477
Phone (508) 888-8227
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2635 | Other | MA | MA BOARD OF MASSAGE THERAPY AS A MASSAGE THERAPIST |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242691200000",
"number": "1164657292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "445 ROUTE 6A",
"address_2": "2ND FLOOR SUITE",
"city": "EAST SANDWICH",
"state": "MA",
"postal_code": "025371477",
"telephone_number": "508-888-8227",
"fax_number": "508-888-8227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "445 ROUTE 6A",
"address_2": "2ND FLOOR SUITE",
"city": "EAST SANDWICH",
"state": "MA",
"postal_code": "025371477",
"telephone_number": "508-888-8227",
"fax_number": "508-888-8227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOGAN",
"first_name": "GAIL",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-05-19",
"last_updated": "2009-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "172M00000X",
"taxonomy_group": "",
"desc": "Mechanotherapist",
"state": "MA",
"license": "2635",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MA BOARD OF MASSAGE THERAPY AS A MASSAGE THERAPIST",
"identifier": "2635",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in East Sandwich, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.