Active NPI
Gigi J. Decker, NCTMB, BA
- Massage Therapist
- Woodbury, MN
National Provider Identifier
1184751539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- Practice address
- 6025 Lake Road
Woodbury, MN 55125 - Phone
- (651) 983-6954
- Fax
- (651) 999-6995
- NPI assigned
- Feb 27, 2007
- Last updated
- Jan 21, 2009
- Sex
- Female
- 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 | Primary |
Addresses
Primary practice location
6025 Lake Road
Woodbury, MN 55125
Mailing address
2208 Edgebrook Ave
Saint Paul, MN 55119-5059
Phone (651) 983-6954
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001818-00 | Other | NCTMB |
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
- Credentials
- Bachelor of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1232496000000",
"number": "1184751539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2208 EDGEBROOK AVE",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551195059",
"telephone_number": "651-983-6954",
"fax_number": "651-999-6995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6025 LAKE ROAD",
"city": "WOODBURY",
"state": "MN",
"postal_code": "55125",
"telephone_number": "651-983-6954",
"fax_number": "651-999-6995"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DECKER",
"first_name": "GIGI",
"middle_name": "J.",
"name_prefix": "Mrs.",
"credential": "NCTMB, BA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-27",
"last_updated": "2009-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCTMB",
"identifier": "001818-00",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Woodbury, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.