Individual provider Active NPI

Ana Gabriela Gaitan, LMT

  • Massage Therapist
  • San Antonio, TX
National Provider Identifier
1124671946
Registry record updated Jul 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
121427 Issued in TX
Practice address
14802 Jones Maltsberger Rd Ste 1101
San Antonio, TX 78247-3571
Phone
(210) 315-3684
NPI assigned
Jul 21, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2019

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 121427 TX Primary

Addresses

Primary practice location

14802 Jones Maltsberger Rd Ste 1101
San Antonio, TX 78247-3571

Mailing address

14802 Jones Maltsberger Rd Ste 1101
San Antonio, TX 78247-3571
Phone (210) 315-3684

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL yourmassage@anoticeddifferencellc.com Health Information Exchange (HIE)

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
121427TXMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1563667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563667200000",
    "number": "1124671946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14802 JONES MALTSBERGER RD STE 1101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782473571",
            "telephone_number": "210-315-3684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14802 JONES MALTSBERGER RD STE 1101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782473571",
            "telephone_number": "210-315-3684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAITAN",
        "first_name": "ANA",
        "middle_name": "GABRIELA",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-21",
        "last_updated": "2019-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": "121427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "yourmassage@anoticeddifferencellc.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "14802 Jones Maltsberger Rd Ste 1101",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782473571",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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 Jul 21, 2019; 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.