Individual provider Active NPI

Gabriel Floud, LMT

  • Massage Therapist
  • Cheyenne, WY
National Provider Identifier
1104345230
Registry record updated Sep 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
OL1733448 Issued in WY
Practice address
2206 Dell Range Blvd Ste B
Cheyenne, WY 82009-4952
Phone
(307) 286-7042
NPI assigned
Sep 9, 2017
Last updated
Sep 9, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 0019960 CO
Massage Therapist 225700000X OL1733448 WY Primary

Addresses

Primary practice location

2206 Dell Range Blvd Ste B
Cheyenne, WY 82009-4952

Mailing address

507 Angie St
Cheyenne, WY 82007-3453
Phone (307) 286-7042

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
0019960COMDMassage Therapist
OL1733448WYMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1504915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504915200000",
    "number": "1104345230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 ANGIE ST",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820073453",
            "telephone_number": "307-286-7042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2206 DELL RANGE BLVD STE B",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820094952",
            "telephone_number": "307-286-7042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLOUD",
        "first_name": "GABRIEL",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-09-09",
        "last_updated": "2017-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CO",
            "license": "0019960",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WY",
            "license": "OL1733448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheyenne, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.