Active NPI
Mark McGovern, LMT
- Massage Therapist
- Fort Collins, CO
National Provider Identifier
1437786134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 0019178
- Practice address
- 2111 S College Ave Ste B
Fort Collins, CO 80525-5404 - Phone
- (970) 482-5301
- NPI assigned
- Mar 24, 2020
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 0019178 | CO | Primary |
Addresses
Primary practice location
2111 S College Ave Ste B
Fort Collins, CO 80525-5404
Mailing address
2111 S College Ave Ste B
Fort Collins, CO 80525-5404
Phone (970) 482-5301
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 |
|---|---|---|---|
| 0019178 | CO | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585008000000",
"number": "1437786134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2111 S COLLEGE AVE STE B",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805255404",
"telephone_number": "970-482-5301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2111 S COLLEGE AVE STE B",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805255404",
"telephone_number": "970-482-5301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGOVERN",
"first_name": "MARK",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-03-24",
"last_updated": "2020-03-24",
"certification_date": "2020-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CO",
"license": "0019178",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Collins, CO
- James G. McGinnis, M.D.
- Preston S McGinty, BSW
- Mellyna Angelica McGlothlin, D.O.
- Allyson McGonagle, APN-CNS, RN, MSN
- Jacqueline Jean McGough, PHYSICAL THERAPIST
- McGrath Therapy and Consulting LLC
- Randall Thomas McGrath Jr., MS, LMFT
- Anna Rose McGraw
- Jessica Rose McGuire
- Nicole Renee McGuire, MA, LMHP, LPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.