Lori McGonagle, O.T.

Primary specialty

SpecialistTaxonomy code 174400000X

License

OT01466 Issued in OH

Practice address

4650 Hills and Dales Rd NW
Canton, OH 44708-1510

Phone

(330) 477-9720

NPI assigned

Jun 29, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Crystal Clinic Inc

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Akron, OH
  • NPI 1063966042
  NPD (past)
• Crystal Clinic, Inc.

  • Orthopaedic Surgery Physician
  • Akron, OH
  • NPI 1619906914
  NPD (past)
• Orthounited, Inc.

  • Orthopaedic Surgery Physician
  • North Canton, OH
  • NPI 1649236142
  NPD (past)
• Tuscarawas Valley Physical Therapy

  • Physical Therapist
  • Dover, OH
  • NPI 1790901726
  NPD (past)

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184544000000",
    "number": "1528096583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4650 HILLS AND DALES RD NW",
            "address_2": "SUITE 100",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447086220",
            "telephone_number": "330-477-9720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4650 HILLS AND DALES RD NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447081510",
            "telephone_number": "330-477-9720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGONAGLE",
        "first_name": "LORI",
        "credential": "O.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-29",
        "last_updated": "2007-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OH",
            "license": "OT01466",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OT LICENSE",
            "identifier": "OT - 01466",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lyle Eugene McGaughey Jr., D.D.S.
• Annjeannette McGhee
• Najah McGhee
• Alexandra McGinness
• Jannine Nicole McGinnis, CRNP
• Elvis McGrath
• Marjorie Pearl McKeaver
• Madison Esther McKee, BSW, LSW
• Pamela Sue McKee, CNP
• Rebekah A McKee

• Specialist in Canton, OH
• Providers in Canton, OH by specialty
• Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; 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.