Active NPI
Jorge Alberto Gomez-Arceo, LMP
- Massage Therapist
- Tacoma, WA
National Provider Identifier
1124424106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA 60443557
- Practice address
- 3901 6TH Ave
Tacoma, WA 98406-4940 - Phone
- (253) 756-7500
- Fax
- (253) 756-7500
- NPI assigned
- Nov 18, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 | MA 60443557 | WA | Primary |
Addresses
Primary practice location
3901 6TH Ave
Tacoma, WA 98406-4940
Mailing address
2602 Westridge Ave W Apt Q203
Tacoma, WA 98466-8266
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
| License | State | Type | Specialty |
|---|---|---|---|
| MA 60443557 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Proctor Chiropractic Inc. PS | 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 and National Provider Directory roles.
-
- Chiropractor
- Tacoma, WA
- NPI 1669517553
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467331200000",
"number": "1124424106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2602 WESTRIDGE AVE W APT Q203",
"city": "TACOMA",
"state": "WA",
"postal_code": "984668266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3901 6TH AVE",
"city": "TACOMA",
"state": "WA",
"postal_code": "984064940",
"telephone_number": "253-756-7500",
"fax_number": "253-756-7500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOMEZ-ARCEO",
"first_name": "JORGE",
"middle_name": "ALBERTO",
"credential": "LMP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-11-18",
"last_updated": "2016-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA 60443557",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.