MR. GARY JUERGENSEN (NPI# 1568986438) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568986438 |
| Entity Type | Individual |
| Full Name | MR. GARY JUERGENSEN |
| Credential | LMT |
| Practice Address |
4 Industrial Blvd Ste 200 Paoli PA 19301-1605 |
| Practice Telephone | (610) 644-3166 |
| Practice Fax Number | 6106443162 |
| Mailing Telephone | 6106443166 |
| Mailing Fax Number | 6106443162 |
| Enumeration Date | 2017-08-01 |
| Last Update Date | 2017-08-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MSG005507 | PA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
4 INDUSTRIAL BLVD STE 200 |
| City | PAOLI |
| State | PA |
| Zip Code | 19301-1605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710400304 | Crystal Ann Ziegler | Nurse Practitioner | 4 Industrial Blvd Ste 200, Paoli, PA 19301-1605 | 2017-07-25 |
| 1932712007 | Leah Heather Millner | Nurse Practitioner | 4 Industrial Blvd Ste 200, Paoli, PA 19301-1605 | 2020-08-28 |
| 1114499183 | Teresa Marie D'aurizio | Nurse Practitioner | 4 Industrial Blvd Ste 200, Paoli, PA 19301-1605 | 2019-01-01 |
| 1083184956 | Elizabeth Langer | Physical Therapist | 4 Industrial Blvd Ste 200, Paoli, PA 19301-1605 | 2018-12-04 |
| 1528587003 | Travis Comeau | Chiropractor | 4 Industrial Blvd Ste 200, Paoli, PA 19301-1605 | 2017-09-15 |
| 1235654997 | Corina Schad | Massage Therapist | 4 Industrial Blvd Ste 200, Paoli, PA 19301-1605 | 2017-08-03 |
| 1366966210 | Aneesa Graham | Massage Therapist | 4 Industrial Blvd Ste 200, Paoli, PA 19301-1605 | 2017-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588280333 | Mary Callery | Physical Therapy Assistant | 16 Industrial Blvd., Ste. 101, Paoli, PA 19301 | 2020-06-17 |
| 1871097519 | Daniel Malloy-good | Social Worker | 45 Darby Rd Ste E4, Paoli, PA 19301 | 2018-03-19 |
| 1306354774 | Patricia Obilo-azandegbe | Counselor | 30 S Valley Rd Ste 101, Paoli, PA 19301 | 2018-01-18 |
| 1275992877 | Jessica Bernard | Physical Therapist | 40 Darby Rd Ste 1, Paoli, PA 19301 | 2016-02-11 |
| 1730576364 | Ushma Sheth | Podiatrist | 250 W Lancaster Ave Ste 225, Paoli, PA 19301 | 2015-04-21 |
| 1619371432 | Miriam Leslie Brewer | Physical Therapist | 195 W Lancaster Ave #3, Paoli, PA 19301 | 2014-10-22 |
| 1447665393 | Matthew Rementer | Podiatrist | 254 West Lancaster Ave, Paoli, PA 19301 | 2014-06-29 |
| 1720490915 | Edward Anthony Romero | Surgery | 255 W Lancaster Ave Ste 332, Paoli, PA 19301 | 2014-05-22 |
| 1285053421 | Jose Ethan Pulido | Urology | 2 Industrial Blvd Bldg C Ste 120, Paoli, PA 19301 | 2014-04-15 |
| 1093065849 | Kathleen M Canfield | Physician Assistant | 11 Industrial Blvd., Ste 204, Paoli Pointe Med. Office Bldg, Paoli, PA 19301 | 2012-09-19 |
| Find all providers in zip 19301 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235654997 | Corina Schad | Massage Therapist | 4 Industrial Blvd Ste 200, Paoli, PA 19301-1605 | 2017-08-03 |
| 1366966210 | Aneesa Graham | Massage Therapist | 4 Industrial Blvd Ste 200, Paoli, PA 19301-1605 | 2017-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154250 | Lorraine Palita | Massage Therapist | 2206 Valley Hill Rd, Malvern, PA 19355-8632 | 2020-11-06 |
| 1235739202 | Layla Marie Franco | Massage Therapist | 411 Freeport Rd, Pittsburgh, PA 15215 | 2020-10-29 |
| 1790385953 | Sarah Fox | Massage Therapist | 2600 Wilder St, Philadelphia, PA 19146-4421 | 2020-10-27 |
| 1770182370 | Jacqueline Michele Vrentas | Massage Therapist | 54 S 2nd St, Easton, PA 18042-3659 | 2020-10-23 |
| 1992304547 | Melissa Neff | Massage Therapist | 153 W Plumstead Ave, Lansdowne, PA 19050-1146 | 2020-10-23 |
| 1982202321 | Susan Lowry | Massage Therapist | 310 W Crawford Ave, Connellsville, PA 15425-3029 | 2020-10-16 |
| 1093313884 | Linda S Cranmer | Massage Therapist | 350 E Butler Ave Ste 104, New Britain, PA 18901-5278 | 2020-10-13 |
| 1548868763 | Alexander Kenneth Mclaughlin | Massage Therapist | 184 Summit House, West Chester, PA 19382-6550 | 2020-10-09 |
| 1679170344 | Donna A Lenzi | Massage Therapist | 106 N Saint Clair St Ste A, Ligonier, PA 15658-1353 | 2020-10-06 |
| 1902413131 | Wylisa Latrice Morgan | Massage Therapist | 2170 Strahle St, Philadelphia, PA 19152-2402 | 2020-10-01 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.