Frank James Denig, MSG000094
Individual provider Active NPI Massage Therapist · Bradford, PA
NPI 1962047829 · NPPES record last updated Nov 14, 2019
Key facts
- NPI
- 1962047829
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- MSG000094 (PA)
- Practice address
- 105 Mechanic St
Bradford, PA 16701-1244 - Phone
- (814) 596-1004
- NPI assigned
- Nov 14, 2019
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MSG000094 | PA | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MSG000094 | PA | Yes |
Addresses
Primary practice location
105 Mechanic St
Bradford, PA 16701-1244
Mailing address
105 Mechanic St
Bradford, PA 16701-1244
Phone (814) 596-1004
NPI Registry JSON
{
"created_epoch": "1573689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573689600000",
"number": "1962047829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 MECHANIC ST",
"city": "BRADFORD",
"state": "PA",
"postal_code": "167011244",
"telephone_number": "814-596-1004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 MECHANIC ST",
"city": "BRADFORD",
"state": "PA",
"postal_code": "167011244",
"telephone_number": "814-596-1004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DENIG",
"first_name": "FRANK",
"middle_name": "JAMES",
"credential": "MSG000094",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-11-14",
"last_updated": "2019-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "PA",
"license": "MSG000094",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 14, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.