Active NPI
Gibson W Carney
- Massage Therapist
- Knoxville, TN
National Provider Identifier
1174381628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 14019
- Practice address
- 9051 Executive Park Dr Ste 600
Knoxville, TN 37923-4633 - Phone
- (865) 474-0074
- NPI assigned
- Mar 11, 2024
- 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 | 14019 | TN | Primary |
Addresses
Primary practice location
9051 Executive Park Dr Ste 600
Knoxville, TN 37923-4633
Mailing address
9051 Executive Park Dr Ste 600
Knoxville, TN 37923-4633
Phone (865) 474-0074
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 |
|---|---|---|---|
| 14019 | TN | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foxlee Inc | Massage Therapist | Current | Accepting new patients |
Locations
9051 Executive Park Dr
Ste 600
Knoxville, TN 37923
Phone (865) 200-5127
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710115200000",
"number": "1174381628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9051 EXECUTIVE PARK DR STE 600",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379234633",
"telephone_number": "865-474-0074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9051 EXECUTIVE PARK DR STE 600",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379234633",
"telephone_number": "865-474-0074"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARNEY",
"first_name": "GIBSON",
"middle_name": "W",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-03-11",
"last_updated": "2024-03-11",
"certification_date": "2024-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "TN",
"license": "14019",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.