Individual provider Active NPI

Gerald B Thompson, LMT, RYT

  • Massage Therapist
  • San Antonio, TX
National Provider Identifier
1174336663
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT142335 Issued in TX
Practice address
8915 Bandera Rd
San Antonio, TX 78250-2517
Phone
(210) 262-8856
NPI assigned
Jan 29, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health & Wellness Coach 171400000X
Massage Therapist 225700000X MT142335 TX Primary

Addresses

Primary practice location

8915 Bandera Rd
San Antonio, TX 78250-2517

Mailing address

11103 Auldine Dr
San Antonio, TX 78230-4315
Phone (210) 262-8856

Other practice location 1

11103 Auldine Dr
San Antonio, TX 78230-4315
Phone (210) 262-8856

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
MT142335TXMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1738108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1174336663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11103 AULDINE DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782304315",
            "telephone_number": "210-262-8856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8915 BANDERA RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782502517",
            "telephone_number": "210-262-8856"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11103 Auldine Dr",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782304315",
            "country_code": "US",
            "telephone_number": "210-262-8856",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "GERALD",
        "middle_name": "B",
        "name_prefix": "Mr.",
        "credential": "LMT, RYT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-01-29",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": "MT142335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Jan 29, 2025; 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.