Individual provider Active NPI

Grace Mosgeller, CMT

  • Massage Therapist
  • Evergreen, CO
National Provider Identifier
1508292590
Registry record updated Sep 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT0007854 Issued in CO
Practice address
4611 Plettner LN
Suite 210
Evergreen, CO 80439-7396
Phone
(303) 903-4936
NPI assigned
Sep 23, 2013
Last updated
Sep 23, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2013

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 MT0007854 CO Primary

Addresses

Primary practice location

4611 Plettner LN
Suite 210
Evergreen, CO 80439-7396

Mailing address

28125 Mariposa Rd
00000
Evergreen, CO 80439-5749
Phone (303) 903-4936

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
MT0007854COMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1379894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379894400000",
    "number": "1508292590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28125 MARIPOSA RD",
            "address_2": "00000",
            "city": "EVERGREEN",
            "state": "CO",
            "postal_code": "804395749",
            "telephone_number": "303-903-4936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4611 PLETTNER LN",
            "address_2": "SUITE 210",
            "city": "EVERGREEN",
            "state": "CO",
            "postal_code": "804397396",
            "telephone_number": "303-903-4936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSGELLER",
        "first_name": "GRACE",
        "credential": "CMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-23",
        "last_updated": "2013-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CO",
            "license": "MT0007854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evergreen, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.

Verify at the official NPI Registry.