Active NPI
Rachel Lee Dugan, LMT
- Mechanotherapist
- Bandon, OR
National Provider Identifier
1447570445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mechanotherapist
- License
- 16335
- Practice address
- 980 2ND St SE
Bandon, OR 97411-9475 - Phone
- (541) 347-9100
- NPI assigned
- Jun 2, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 | 16335 | OR | Primary |
Addresses
Primary practice location
980 2ND St SE
Bandon, OR 97411-9475
Mailing address
980 2ND. St. SE
Bandon, OR 97411-9741
Phone (541) 347-9100
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 |
|---|---|---|---|
| 16335 | OR | MD | Mechanotherapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Well Within | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Acupuncturist
- Bandon, OR
- NPI 1326596933
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1275436800000",
"number": "1447570445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "980 2ND. ST. SE",
"city": "BANDON",
"state": "OR",
"postal_code": "974119741",
"telephone_number": "541-347-9100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "980 2ND ST SE",
"city": "BANDON",
"state": "OR",
"postal_code": "974119475",
"telephone_number": "541-347-9100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUGAN",
"first_name": "RACHEL",
"middle_name": "LEE",
"name_prefix": "Miss",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-06-02",
"last_updated": "2010-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "172M00000X",
"taxonomy_group": "",
"desc": "Mechanotherapist",
"state": "OR",
"license": "16335",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bandon, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.