Active NPI
Sabrina Dennis Gautier, CMT
- Mechanotherapist
- Princeton, WV
National Provider Identifier
1306176474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mechanotherapist
- License
- 2003-1279
- Practice address
- 1205 Stafford Dr
Princeton, WV 24740-2465 - Phone
- (304) 913-4934
- NPI assigned
- Jan 12, 2010
- Sex
- Female
- Sole proprietor
- No
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 | 2003-1279 | WV | Primary |
Addresses
Primary practice location
1205 Stafford Dr
Princeton, WV 24740-2465
Mailing address
398 Stockpen Mountain Rd
Narrows, VA 24124-2354
Phone (540) 599-3102
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 |
|---|---|---|---|
| 2003-1279 | WV | MD | Mechanotherapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322438400000",
"number": "1306176474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "398 STOCKPEN MOUNTAIN RD",
"city": "NARROWS",
"state": "VA",
"postal_code": "241242354",
"telephone_number": "540-599-3102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1205 STAFFORD DR",
"city": "PRINCETON",
"state": "WV",
"postal_code": "247402465",
"telephone_number": "304-913-4934"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAUTIER",
"first_name": "SABRINA",
"middle_name": "DENNIS",
"name_prefix": "Mrs.",
"credential": "CMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-01-12",
"last_updated": "2011-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "172M00000X",
"taxonomy_group": "",
"desc": "Mechanotherapist",
"state": "WV",
"license": "2003-1279",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Princeton, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.