DMITRIY GERVAGIN (NPI# 1184988156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184988156 |
| Entity Type | Individual |
| Full Name | DMITRIY GERVAGIN |
| Credential | LMT |
| Practice Address |
44 High St Newton MA 02464-1232 |
| Practice Telephone | 6178284516 |
| Mailing Telephone | 6178284516 |
| Enumeration Date | 2012-06-25 |
| Last Update Date | 2012-06-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 10680 | MA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
44 HIGH ST |
| City | NEWTON |
| State | MA |
| Zip Code | 02464-1232 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649550138 | Cambridge Health Alliance | Clinic/Center | 44 High St, Apt. 2, Newton, MA 02464-1232 | 2011-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235799016 | Vi Dang | Pharmacist | 1175 Chestnut St Unit 24, Newton Upper Falls, MA 02464 | 2019-06-14 |
| 1861056657 | Freiberg- Dale Associates | In Home Supportive Care | 1254 Chestnut Street, 2nd Floor, Newton, MA 02464 | 2019-04-26 |
| 1770065633 | Eriny Agban | Counselor | 223 Needham St, Newton, MA 02464 | 2018-09-06 |
| 1629507025 | Marilyn Gamber | Nurse Practitioner | 141 Needham St Ste N205, Newton, MA 02464 | 2017-06-08 |
| 1275089880 | Carole Calderon | Social Worker | 28 Richardson Road, Newton Upper Falls, MA 02464 | 2016-09-01 |
| 1952797011 | Christine Maley | Occupational Therapist | 377 Elliot St Ste 110j, Newton Upper Falls, MA 02464 | 2015-04-15 |
| 1851780936 | Katrina Maclean X | Behavioral Analyst | 109 Oak Street Suite G10, Newton, MA 02464 | 2015-01-13 |
| 1447555909 | Sarah Russell | Speech-Language Pathologist | 43 River Ave, Newton Upper Falls, MA 02464 | 2011-01-14 |
| 1639328164 | Sanita D'souza | Audiologist | 23 Mechanic Street, S R Associates, Newton, MA 02464 | 2008-09-09 |
| 1366581845 | Julia Elizabeth French | Chiropractor | 383 Elliot St # F, Newton Upper Falls, MA 02464 | 2007-02-05 |
| Find all providers in zip 02464 | ||||
| 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 |
|---|---|---|---|---|
| 1205451861 | Ann Alecksen | Massage Therapist | 11219 Newton Rd, Newton, WI 53063-9617 | 2020-06-10 |
| 1912404682 | Inner Horizon Spaworks LLC | Massage Therapist | 701 Washington St Ste B2, Newton, MA 02458-1386 | 2018-04-10 |
| 1508314501 | Barbara Niclaus | Massage Therapist | 78 Kemah Mecca Lake Rd, Newton, NJ 07860-6612 | 2016-09-19 |
| 1679899298 | Refresh, LLC | Massage Therapist | 1290 Washington St, Newton, MA 02465-2001 | 2010-04-08 |
| 1679602221 | Joseph J Shniper | Massage Therapist | 1089 Washington Street, Eleanor & Joseph Massage Therapy, Newton, MA 02465 | 2007-03-02 |
| 1871102780 | Elizabeth Field | Massage Therapist | 383 Elliot St, Door F, Suite 250, Newton, MA 02464 | 2020-07-27 |
| 1467082271 | Gina Galante | Massage Therapist | 383 Elliot St Ste 250, Newton, MA 02464-1126 | 2020-01-21 |
| 1154863793 | Jennifer Bradbury | Massage Therapist | 701 Washington St, Newton, MA 02458-1386 | 2016-11-14 |
| 1194010546 | Cheryl Mcgown | Massage Therapist | 1290 Washington St, Newton, MA 02465-2001 | 2011-06-14 |
| 1487949830 | Kailee Cenis | Massage Therapist | 1290 Washington St, Newton, MA 02465-2001 | 2011-06-14 |
| Find all providers in NEWTON | ||||
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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.