Lisa Mary Macgovern, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA35780 Issued in FL

Practice address

55 Vining CT Apt 113
Ormond Beach, FL 32176-6676

Phone

(386) 673-1041

NPI assigned

Jun 2, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1401667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401667200000",
    "number": "1376955997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 VINING CT",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321766658",
            "telephone_number": "386-673-1041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 VINING CT APT 113",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321766676",
            "telephone_number": "386-673-1041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACGOVERN",
        "first_name": "LISA",
        "middle_name": "MARY",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-02",
        "last_updated": "2014-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA35780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katelyn E Lynch
• Michael Francis Lynch, DPT
• Whittney Lynch, NP
• M.W. Ladwig, L.M.H.C., Inc.
• M&C Signature, LLC
• Lindsay Mach, PA
• Madison Sweeney DC LLC
• Courtney Mahairas, LMHC, BCBA
• Brenda Lee Mahon, OTD/OTR
• Michael Kevin Makowski, MD

• Massage Therapist in Ormond Beach, FL
• Providers in Ormond Beach, FL by specialty
• Massage Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2014; 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.