Active NPI
Gina Kilgus, MT, CR
- Massage Therapist
- Austin, TX
National Provider Identifier
1972001931
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT102241
- Practice address
- 4412 Spicewood Springs Rd Ste 402
Austin, TX 78759-8500 - Phone
- (512) 796-2538
- NPI assigned
- Jan 24, 2018
- Last updated
- Jan 24, 2018
- 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 | MT102241 | TX | Primary |
Addresses
Primary practice location
4412 Spicewood Springs Rd Ste 402
Austin, TX 78759-8500
Mailing address
4412 Spicewood Springs Rd Ste 402
Austin, TX 78759-8500
Phone (512) 796-2538
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
- Credentials
- Medical Technician
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT102241 | TX | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516752000000",
"number": "1972001931",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4412 SPICEWOOD SPRINGS RD STE 402",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787598500",
"telephone_number": "512-796-2538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4412 SPICEWOOD SPRINGS RD STE 402",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787598500",
"telephone_number": "512-796-2538"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KILGUS",
"first_name": "GINA",
"credential": "MT, CR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-01-24",
"last_updated": "2018-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "TX",
"license": "MT102241",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.