Individual provider Active NPI

Gavin Bartell, LMT

  • Massage Therapist
  • Silverdale, WA
National Provider Identifier
1003736661
Registry record updated Jul 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MASS.MA.70149777 Issued in WA
Practice address
9621 Mickelberry Rd NW Ste 108
Silverdale, WA 98383-8301
Phone
(360) 692-5350
Fax
(360) 692-5354
NPI assigned
Jul 15, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2026

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 MASS.MA.70149777 WA Primary

Addresses

Primary practice location

9621 Mickelberry Rd NW Ste 108
Silverdale, WA 98383-8301

Mailing address

9621 Mickelberry Rd NW Ste 108
Silverdale, WA 98383-8301
Phone (360) 692-5350

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

NPI Registry JSON

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

{
    "created_epoch": "1784073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784073600000",
    "number": "1003736661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9621 MICKELBERRY RD NW STE 108",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983838301",
            "telephone_number": "360-692-5350",
            "fax_number": "360-692-5354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9621 MICKELBERRY RD NW STE 108",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983838301",
            "telephone_number": "360-692-5350",
            "fax_number": "360-692-5354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTELL",
        "first_name": "GAVIN",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-07-15",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MASS.MA.70149777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silverdale, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2026; 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.