Individual provider Active NPI

Gabriel Wood-Bianchi, LMT

  • Massage Therapist
  • Vancouver, WA
National Provider Identifier
1003529264
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA61389028 Issued in WA
Practice address
516 SE Chkalov Dr Ste 49
Vancouver, WA 98683-5277
Phone
(415) 430-8428
NPI assigned
Jan 3, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA61389028 WA Primary

Addresses

Primary practice location

516 SE Chkalov Dr Ste 49
Vancouver, WA 98683-5277

Mailing address

12800 SE 7TH St Apt P4
Vancouver, WA 98683-4029
Phone (415) 430-8428

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
Master of Theology

State licenses

LicenseStateTypeSpecialty
MA61389028WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Self Balance Massage Massage Therapist PastSince Mar 13, 2022 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1672704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1003529264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12800 SE 7TH ST APT P4",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986834029",
            "telephone_number": "415-430-8428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 SE CHKALOV DR STE 49",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986835277",
            "telephone_number": "415-430-8428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD-BIANCHI",
        "first_name": "GABRIEL",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-03",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA61389028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.