Individual provider Active NPI

Cynthia Ann Gellinger, LMT, CMLDT

  • Massage Therapist
  • Lake Oswego, OR
National Provider Identifier
1073952115
Registry record updated Jul 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
19296 Issued in OR
Practice address
311 B Ave
Suite L
Lake Oswego, OR 97034-3055
Phone
(503) 752-1458
NPI assigned
Jun 21, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2014

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 19296 OR Primary

Addresses

Primary practice location

311 B Ave
Suite L
Lake Oswego, OR 97034-3055

Mailing address

1669 Oak St
Lake Oswego, OR 97034-4747
Phone (503) 752-1458

Other names 1

  • Cindy Ann Gellinger Other name

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
19296ORMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1371772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406073600000",
    "number": "1073952115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1669 OAK ST",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970344747",
            "telephone_number": "503-752-1458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 B AVE",
            "address_2": "SUITE L",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970343055",
            "telephone_number": "503-752-1458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GELLINGER",
        "first_name": "CYNTHIA",
        "middle_name": "ANN",
        "credential": "LMT, CMLDT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-21",
        "last_updated": "2014-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "19296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CINDY",
            "last_name": "GELLINGER",
            "middle_name": "ANN",
            "credential": "LMT, CMLDT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lake Oswego, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2014; 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.