Active NPI
Thomas Gardner, LMT
- Massage Therapist
- Salem, OR
National Provider Identifier
1073411526
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 29918
- Practice address
- 4985 Battle Creek Rd SE Ste 140
Salem, OR 97302-9684 - Phone
- (971) 498-7746
- NPI assigned
- Oct 26, 2026
- Last updated
- Oct 26, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 29918 | OR | Primary |
Addresses
Primary practice location
4985 Battle Creek Rd SE Ste 140
Salem, OR 97302-9684
Mailing address
4985 Battle Creek Rd SE Ste 140
Salem, OR 97302-9684
Phone (503) 932-0398
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ambrose LLC | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1792972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1792972800000",
"number": "1073411526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4985 BATTLE CREEK RD SE STE 140",
"city": "SALEM",
"state": "OR",
"postal_code": "973029684",
"telephone_number": "503-932-0398"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4985 BATTLE CREEK RD SE STE 140",
"city": "SALEM",
"state": "OR",
"postal_code": "973029684",
"telephone_number": "971-498-7746"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARDNER",
"first_name": "THOMAS",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-10-26",
"last_updated": "2026-10-26",
"certification_date": "2026-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OR",
"license": "29918",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.