Individual provider Active NPI

Gary David Pajonk, R.N., L.M.T.

  • Nurse Massage Therapist (NMT)
  • Bonita Springs, FL
National Provider Identifier
1245540244
Registry record updated Oct 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse Massage Therapist (NMT)Taxonomy code 163WM1400X
License
FL RN 1038922 Issued in FL
Practice address
3411 Bonita Beach Rd
Suite 305
Bonita Springs, FL 34134-4155
Phone
(239) 992-5498
NPI assigned
Oct 9, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Massage Therapist (NMT) 163WM1400X FL RN 1038922 FL Primary
Massage Therapist 225700000X MA 5079 FL

Addresses

Primary practice location

3411 Bonita Beach Rd
Suite 305
Bonita Springs, FL 34134-4155

Mailing address

3411 Bonita Beach Rd
Suite 305
Bonita Springs, FL 34134-4155
Phone (239) 992-5498

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
FL RN 1038922FLMDNurse Massage Therapist (NMT)
MA 5079FLMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1286582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286582400000",
    "number": "1245540244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3411 BONITA BEACH RD",
            "address_2": "SUITE 305",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341344155",
            "telephone_number": "239-992-5498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3411 BONITA BEACH RD",
            "address_2": "SUITE 305",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341344155",
            "telephone_number": "239-992-5498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAJONK",
        "first_name": "GARY",
        "middle_name": "DAVID",
        "credential": "R.N., L.M.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-10-09",
        "last_updated": "2010-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM1400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Nurse Massage Therapist (NMT)",
            "state": "FL",
            "license": "FL RN 1038922",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA 5079",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bonita Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.