Individual provider Active NPI

Carlos Gonzalez, LMT

  • Massage Therapist
  • Cleveland Heights, OH
National Provider Identifier
1073919460
Registry record updated Nov 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
020826 Issued in OH
Practice address
1519 Burlington Rd
Cleveland Heights, OH 44118-1216
Phone
(440) 781-9237
NPI assigned
Nov 12, 2014
Last updated
Nov 29, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2017

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 020826 OH Primary

Addresses

Primary practice location

1519 Burlington Rd
Cleveland Heights, OH 44118-1216

Mailing address

1519 Burlington Rd
Cleveland Heights, OH 44118-1216
Phone (440) 382-5005

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

State licenses

LicenseStateTypeSpecialty
020826OHMDMassage Therapist

Interoperability endpoints

  • Direct secure messaging: cgonzalez38937@ehrdirect.uhhospitals.org

NPI Registry JSON

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

{
    "created_epoch": "1415750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511913600000",
    "number": "1073919460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1519 BURLINGTON RD",
            "city": "CLEVELAND HEIGHTS",
            "state": "OH",
            "postal_code": "441181216",
            "telephone_number": "440-382-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1519 BURLINGTON RD",
            "city": "CLEVELAND HEIGHTS",
            "state": "OH",
            "postal_code": "441181216",
            "telephone_number": "440-781-9237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "CARLOS",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-11-12",
        "last_updated": "2017-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OH",
            "license": "020826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2017; 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.