Organization Active NPI

Gilyard Medical and Oncology Massage

  • Massage Therapist
  • San Antonio, TX
National Provider Identifier
1093162869
Registry record updated May 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT040302 Issued in TX
Legal business name
GILYARD MEDICAL AND ONCOLOGY MASSAGE
Doing business as
Gilyard Medical Massage
Practice address
7400 Blanco Rd Ste 122
San Antonio, TX 78216-4361
Phone
(210) 861-7828
Fax
(210) 802-4738
NPI assigned
May 20, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2016

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

Authorized official

Name
Miss Kimblyn Lashun Gilyard, RN, WCC, MMP, CLT
Title
Owner
Phone
(210) 861-7828

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X MT040302 TX Primary

Addresses

Primary practice location

7400 Blanco Rd Ste 122
San Antonio, TX 78216-4361

Mailing address

7400 Blanco Rd Ste 122
San Antonio, TX 78216-4361
Phone (210) 861-7828

Other names 1

  • Gilyard Medical Massage Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1463702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463702400000",
    "number": "1093162869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 BLANCO RD STE 122",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782164361",
            "telephone_number": "210-861-7828",
            "fax_number": "210-802-4738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 BLANCO RD STE 122",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782164361",
            "telephone_number": "210-861-7828",
            "fax_number": "210-802-4738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GILYARD MEDICAL AND ONCOLOGY MASSAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-20",
        "last_updated": "2016-05-20",
        "status": "A",
        "authorized_official_last_name": "GILYARD",
        "authorized_official_first_name": "KIMBLYN",
        "authorized_official_middle_name": "LASHUN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-861-7828",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "RN, WCC, MMP, CLT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": "MT040302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gilyard Medical Massage",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2016; 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.