Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

The Mog LLC

Organization Athletic Trainer · NPI 1295242923

The Mog LLC is an Athletic Trainer in South Portland, Maine. Licensed in Maine. Registered with an NPI since 2018.

Licensed in
ME
In the registry since
2018
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

125 John Roberts Rd Ste 16
South Portland, ME 04106-6983
Phone: (207) 347-3030
Fax: (207) 536-4449
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence AT433 (ME)
Athletic Trainer Taxonomy 2255A2300X · Licence AT241 (ME)
Athletic Trainer Taxonomy 2255A2300X · Licence AT500 (ME)

Record details

NPI number1295242923
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christopher Pribish — Owner · (207) 347-3030
Other names Momentum Performance; United Medical Gym
NPI enumeratedJanuary 3, 2018
Last updated in NPPESJune 16, 2018
Mailing address125 John Roberts Rd Ste 16, South Portland, ME 04106-6983

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