Active NPI
Gina R Danis, LMT
- Mechanotherapist
- Southampton, PA
National Provider Identifier
1861756405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mechanotherapist
- License
- MSG003466
- Practice address
- 660 Second Street Pike Ste 201
Southampton, PA 18966-3995 - Phone
- (215) 355-4212
- NPI assigned
- Jun 28, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mechanotherapist | 172M00000X | MSG003466 | PA | Primary |
Addresses
Primary practice location
660 Second Street Pike Ste 201
Southampton, PA 18966-3995
Mailing address
3333 Comly Rd Apt 10
Philadelphia, PA 19154-3316
Phone (215) 355-4212
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 |
|---|---|---|---|
| MSG003466 | PA | MD | Mechanotherapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340841600000",
"number": "1861756405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3333 COMLY RD APT 10",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191543316",
"telephone_number": "215-355-4212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "660 SECOND STREET PIKE STE 201",
"city": "SOUTHAMPTON",
"state": "PA",
"postal_code": "189663995",
"telephone_number": "215-355-4212"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANIS",
"first_name": "GINA",
"middle_name": "R",
"name_prefix": "Ms.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-06-28",
"last_updated": "2012-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "172M00000X",
"taxonomy_group": "",
"desc": "Mechanotherapist",
"state": "PA",
"license": "MSG003466",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Southampton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.