Individual provider Active NPI

Victoria M Mandigo, LPTA, LMT

  • Massage Therapist
  • Saginaw, MI
National Provider Identifier
1750196069
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
22271100922 Issued in MI
Practice address
7075 Gratiot Rd
Saginaw, MI 48609-6904
Phone
(989) 781-7700
Fax
(989) 781-7733
NPI assigned
Feb 12, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 23137040501 MI
Massage Therapist 225700000X 22271100922 MI Primary

Addresses

Primary practice location

7075 Gratiot Rd
Saginaw, MI 48609-6904

Mailing address

7075 Gratiot Rd
Saginaw, MI 48609-6904
Phone (989) 781-7700

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
23137040501MIMDPhysical Therapy Assistant
22271100922MIMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1739318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1750196069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7075 GRATIOT RD",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486096904",
            "telephone_number": "989-781-7700",
            "fax_number": "989-781-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7075 GRATIOT RD",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486096904",
            "telephone_number": "989-781-7700",
            "fax_number": "989-781-7733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANDIGO",
        "first_name": "VICTORIA",
        "middle_name": "M",
        "credential": "LPTA, LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-12",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MI",
            "license": "23137040501",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MI",
            "license": "22271100922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; 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.