Active NPI
Kenneth McGrath, LMT
- Massage Therapist
- Medford, OR
National Provider Identifier
1710691753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 27286
- Practice address
- 312 S Grape St
Medford, OR 97501-3147 - Phone
- (503) 702-9941
- NPI assigned
- Jan 12, 2023
- Sex
- Male
- 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 | 27286 | OR | Primary |
Addresses
Primary practice location
312 S Grape St
Medford, OR 97501-3147
Mailing address
1100 Ivy LN
Ashland, OR 97520-3236
Phone (503) 702-9941
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 |
|---|---|---|---|
| 27286 | OR | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1673481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673481600000",
"number": "1710691753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 IVY LN",
"city": "ASHLAND",
"state": "OR",
"postal_code": "975203236",
"telephone_number": "503-702-9941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "312 S GRAPE ST",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975013147",
"telephone_number": "503-702-9941"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGRATH",
"first_name": "KENNETH",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-01-12",
"last_updated": "2023-01-12",
"certification_date": "2023-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OR",
"license": "27286",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Medford, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.