Active NPI
Kathleen A. Kagan, LMT, NMT
- Massage Therapist
- Debary, FL
National Provider Identifier
1508202607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA7554
- Practice address
- 10 B Dogwood Trail
Debary, FL 32713-2946 - Phone
- (386) 668-0009
- Fax
- (386) 668-6509
- NPI assigned
- May 15, 2013
- Sex
- Female
- 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 | MA7554 | FL | Primary |
Addresses
Primary practice location
10 B Dogwood Trail
Debary, FL 32713-2946
Mailing address
145 Eldorado Drive
Debary, FL 32713
Phone (386) 668-0009
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 |
|---|---|---|---|
| MA7554 | FL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1368576000000",
"number": "1508202607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "145 ELDORADO DRIVE",
"city": "DEBARY",
"state": "FL",
"postal_code": "32713",
"telephone_number": "386-668-0009",
"fax_number": "386-668-6509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 B DOGWOOD TRAIL",
"city": "DEBARY",
"state": "FL",
"postal_code": "327132946",
"telephone_number": "386-668-0009",
"fax_number": "386-668-6509"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAGAN",
"first_name": "KATHLEEN",
"middle_name": "A.",
"name_prefix": "Ms.",
"credential": "LMT, NMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-15",
"last_updated": "2013-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA7554",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Debary, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.