THE MOG LLC NPI 1295242923

NPI Information

  • NPI: 1295242923
  • Provider Name: THE MOG LLC
  • Classification: Specialist/Technologist - 2255A2300X
  • Specialization: Athletic Trainer
  • Entity Type: Organization
  • Doing Business As: UNITED MEDICAL GYM
  • Address: 125 JOHN ROBERTS RD STE 16
    SOUTH PORTLAND, ME
    ZIP 04106
  • Phone: (207) 347-3030

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NPI Details

THE MOG LLC is an athletic trainer specialist technologist in South Portland, ME. The provider is athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. THE MOG LLC NPI is 1295242923. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As United Medical Gym.

The provider's business location address is:

125 JOHN ROBERTS RD STE 16
SOUTH PORTLAND, ME
ZIP 04106-983
Phone: (207) 347-3030
Fax: (207) 536-4449

The provider's authorized official is Christopher S Pribish .
The authorized official title is Owner and has the following contact phone number (207) 347-3030.

The enumeration date for this NPI number is 1/3/2018 and was last updated on 6/16/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12255A2300XSpecialist/TechnologistAthletic TrainerAT241MAINENo
22255A2300XSpecialist/TechnologistAthletic TrainerAT500MAINENo
32255A2300XSpecialist/TechnologistAthletic TrainerAT433MAINEYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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