Active NPI
Nicole Gallagher
- Massage Therapist
- Adrian, MI
National Provider Identifier
1962165134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 7501009271
- Practice address
- 750 High St
Adrian, MI 49221-1443 - Phone
- (419) 467-4123
- NPI assigned
- Oct 14, 2021
- 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 | 7501009271 | MI | Primary |
Addresses
Primary practice location
750 High St
Adrian, MI 49221-1443
Mailing address
5510 N Raisin Center Hwy
Tecumseh, MI 49286-9581
Phone (419) 467-4123
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | Adrian |
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 |
|---|---|---|---|
| 7501009271 | MI | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634169600000",
"number": "1962165134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5510 N RAISIN CENTER HWY",
"city": "TECUMSEH",
"state": "MI",
"postal_code": "492869581",
"telephone_number": "419-467-4123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 HIGH ST",
"city": "ADRIAN",
"state": "MI",
"postal_code": "492211443",
"telephone_number": "419-467-4123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALLAGHER",
"first_name": "NICOLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-10-14",
"last_updated": "2021-10-14",
"certification_date": "2021-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MI",
"license": "7501009271",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "Adrian",
"affiliation": "N",
"address_1": "750 High St",
"city": "Adrian",
"state": "MI",
"country_code": "US",
"postal_code": "492211443",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Adrian, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.