Jonathan Lee Gage, LMP

Primary specialty

MechanotherapistTaxonomy code 172M00000X

License

MA60041531 Issued in WA

Practice address

739 S Mission St
Wenatchee, WA 98801-3079

Phone

(509) 884-4357

NPI assigned

Jun 1, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Iroc PS

  • Sports Physician Chiropractor
  • Wenatchee, WA
  • NPI 1235256918
  NPD (past)

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

{
    "created_epoch": "1243814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243814400000",
    "number": "1356577621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "739 S MISSION ST",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988013079",
            "telephone_number": "509-884-4357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "739 S MISSION ST",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988013079",
            "telephone_number": "509-884-4357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAGE",
        "first_name": "JONATHAN",
        "middle_name": "LEE",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-01",
        "last_updated": "2009-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "WA",
            "license": "MA60041531",
            "primary": true
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "WA",
            "license": "NA60043977",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Edward Funk, SLP
• Mark John Furin, M.D.
• Paul S Furmanczyk, MD
• Nydia Acsai Gable, LPN
• Ryan Garrett Gade, DDS
• Christine Gallup, RNFA
• Jessica Alicia Galvan
• Winter Galvan, LMT
• Elizabeth Gameros
• Alma Patricia Garcia

• Mechanotherapist in Wenatchee, WA
• Providers in Wenatchee, WA by specialty
• Mechanotherapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.

Verify at the official NPI Registry.