Organization Active NPI

Pellegrin Healthcare LLC

  • Massage Therapist
  • Covington, LA
National Provider Identifier
1962266163
Registry record updated Feb 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
PELLEGRIN HEALTHCARE LLC
Practice address
522 N New Hampshire St SPC 9
Covington, LA 70433-2843
Phone
(262) 359-0044
NPI assigned
Feb 8, 2024
Last updated
Feb 8, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2024

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

Authorized official

Name
April Marie Gustafson, LMTNPI 1710756895
Title
Massage Therapist
Phone
(262) 359-0044

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X Primary

Addresses

Primary practice location

522 N New Hampshire St SPC 9
Covington, LA 70433-2843

Mailing address

12627 Highway 1078
Folsom, LA 70437-3554
Phone (262) 359-0044

National Provider Directory

National Provider Directory

Locations

522 N New Hampshire St
Spc 9
Covington, LA 70433
Phone (262) 359-0044

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1707350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707350400000",
    "number": "1962266163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12627 HIGHWAY 1078",
            "city": "FOLSOM",
            "state": "LA",
            "postal_code": "704373554",
            "telephone_number": "262-359-0044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 N NEW HAMPSHIRE ST SPC 9",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704332843",
            "telephone_number": "262-359-0044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PELLEGRIN HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-08",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-01",
        "status": "A",
        "authorized_official_last_name": "GUSTAFSON",
        "authorized_official_first_name": "APRIL",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "MASSAGE THERAPIST",
        "authorized_official_telephone_number": "262-359-0044",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; 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.