NPIMap

Organization Active NPI

Gateway Therapeutic Massage

  • Preferred Provider Organization
  • Port Angeles, WA
National Provider Identifier
1255659066
Registry record updated May 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
AC 00002207 Issued in WA
Legal business name
GATEWAY THERAPEUTIC MASSAGE
Practice address
118 N Liberty St
Ste a
Port Angeles, WA 98362-4322
Phone
(360) 457-7374
Fax
(360) 457-8717
NPI assigned
May 4, 2010
Last updated
May 4, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2010

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

Authorized official

Name
Mrs. Julia Andre'a Anderson, LMPNPI 1194050732
Title
Owner
Phone
(360) 457-7374

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X AC 00002207 WA Primary

Addresses

Primary practice location

118 N Liberty St
Ste a
Port Angeles, WA 98362-4322

Mailing address

118 N Liberty St
Ste a
Port Angeles, WA 98362-4322
Phone (360) 457-7374

National Provider Directory

National Provider Directory

Locations

118 N Liberty St
Apt A
Port Angeles, WA 98362
Phone (360) 457-7374

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1272931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272931200000",
    "number": "1255659066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 N LIBERTY ST",
            "address_2": "STE A",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983624322",
            "telephone_number": "360-457-7374",
            "fax_number": "360-457-8717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 N LIBERTY ST",
            "address_2": "STE A",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983624322",
            "telephone_number": "360-457-7374",
            "fax_number": "360-457-8717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY THERAPEUTIC MASSAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-04",
        "last_updated": "2010-05-04",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "JULIA",
        "authorized_official_middle_name": "ANDRE'A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-457-7374",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMP"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "WA",
            "license": "AC 00002207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Angeles, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2010; 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.