Active NPI
Kaitlyn Gingras
- Massage Therapist
- Dalton, MA
National Provider Identifier
1871940114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 12696
- Practice address
- 97 John St
Dalton, MA 01226-1415 - Phone
- (413) 358-3364
- NPI assigned
- May 17, 2016
- Last updated
- May 17, 2016
- 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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 12696 | MA | Primary |
Addresses
Primary practice location
97 John St
Dalton, MA 01226-1415
Mailing address
97 John St
Dalton, MA 01226-1415
Phone (413) 358-3364
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 |
|---|---|---|---|
| 12696 | MA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463443200000",
"number": "1871940114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "97 JOHN ST",
"city": "DALTON",
"state": "MA",
"postal_code": "012261415",
"telephone_number": "413-358-3364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "97 JOHN ST",
"city": "DALTON",
"state": "MA",
"postal_code": "012261415",
"telephone_number": "413-358-3364"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GINGRAS",
"first_name": "KAITLYN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-05-17",
"last_updated": "2016-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MA",
"license": "12696",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dalton, MA
- Diane Drosehn
- Christine Frederick Mary Frederick
- Elta Jon Friedman, LICSW
- Gahcr II Dalton Alf TRS Sub, LLC (Sugar Hill)
- Gahcr II Dalton SNF TRS Sub, LLC (Craneville Place Rehabilitation and Skilled Care Center)
- Hynes-Drumm & Giuliani
- Thomas Bergan Irwin, D.O.
- James G Jacobsen, LICSW
- Marta Larange, DNP, PMHNP
- Alisa Elizabeth Marra
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.