Individual provider Active NPI

Patricia Shaw Bugos, L.M.T.

  • Massage Therapist
  • Gainesville, FL
National Provider Identifier
1376843201
Registry record updated Oct 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA15716 Issued in FL
Practice address
5000 NW 34TH St Ste 12
Gainesville, FL 32605-1187
Phone
(352) 333-7090
Fax
(352) 333-7091
NPI assigned
Oct 26, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA15716 FL Primary

Addresses

Primary practice location

5000 NW 34TH St Ste 12
Gainesville, FL 32605-1187

Mailing address

5000 NW 34TH St Ste 12
Gainesville, FL 32605-1187
Phone (352) 333-7090

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

LicenseStateTypeSpecialty
MA15716FLMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1288051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288051200000",
    "number": "1376843201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 NW 34TH ST STE 12",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326051187",
            "telephone_number": "352-333-7090",
            "fax_number": "352-333-7091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 NW 34TH ST STE 12",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326051187",
            "telephone_number": "352-333-7090",
            "fax_number": "352-333-7091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUGOS",
        "first_name": "PATRICIA",
        "middle_name": "SHAW",
        "credential": "L.M.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-26",
        "last_updated": "2010-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA15716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.