Active NPI
Gail B Kozlowski, LPN, LMT
- Massage Therapist
- Scranton, PA
National Provider Identifier
1669437679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MSG000066
- Practice address
- 5 Morgan Hwy
Suite #4
Scranton, PA 18508-2641 - Phone
- (570) 344-3788
- Fax
- (570) 614-0212
- NPI assigned
- Apr 20, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | PN258952L | PA | |
| Massage Therapist | 225700000X | MSG000066 | PA | Primary |
Addresses
Primary practice location
5 Morgan Hwy
Suite #4
Scranton, PA 18508-2641
Mailing address
5 Morgan Hwy
Suite #4
Scranton, PA 18508-2641
Phone (570) 344-3788
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 |
|---|---|---|---|
| PN258952L | PA | MD | Licensed Practical Nurse |
| MSG000066 | PA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeastern Rehabilitation Associates, PC | 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.
-
- Physical Medicine & Rehabilitation Physician
- Scranton, PA
- NPI 1104878412
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300665600000",
"number": "1669437679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 MORGAN HWY",
"address_2": "SUITE #4",
"city": "SCRANTON",
"state": "PA",
"postal_code": "185082641",
"telephone_number": "570-344-3788",
"fax_number": "570-614-0212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 MORGAN HWY",
"address_2": "SUITE #4",
"city": "SCRANTON",
"state": "PA",
"postal_code": "185082641",
"telephone_number": "570-344-3788",
"fax_number": "570-614-0212"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOZLOWSKI",
"first_name": "GAIL",
"middle_name": "B",
"credential": "LPN, LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-20",
"last_updated": "2011-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "PA",
"license": "PN258952L",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "PA",
"license": "MSG000066",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Scranton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.