Active NPI
Donna Galvagni, LMT
- Massage Therapist
- Canon City, CO
National Provider Identifier
1558750646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT 5409
- Practice address
- 1216 Main St
Canon City, CO 81212-3506 - Phone
- (719) 275-0028
- NPI assigned
- Jan 13, 2015
- 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 | MT 5409 | CO | Primary |
Addresses
Primary practice location
1216 Main St
Canon City, CO 81212-3506
Mailing address
2254 Pear St
Canon City, CO 81212-2567
Phone (719) 251-3866
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 |
|---|---|---|---|
| MT 5409 | CO | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421107200000",
"number": "1558750646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2254 PEAR ST",
"city": "CANON CITY",
"state": "CO",
"postal_code": "812122567",
"telephone_number": "719-251-3866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1216 MAIN ST",
"city": "CANON CITY",
"state": "CO",
"postal_code": "812123506",
"telephone_number": "719-275-0028"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALVAGNI",
"first_name": "DONNA",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-01-13",
"last_updated": "2015-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CO",
"license": "MT 5409",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Canon City, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.