Kristie Lynn Gibson, LMTP,CMA,CMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

33-019973 Issued in OH

Practice address

23980 Chagrin Blvd
Suite #203, 2ND Floor
Beachwood, OH 44122-5548

Phone

(216) 832-7800

Fax

(216) 274-9335

NPI assigned

Jun 18, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Medical Assistant

State licenses

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

{
    "created_epoch": "1371513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371513600000",
    "number": "1285073726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23980 CHAGRIN BLVD",
            "address_2": "SUITE #203, 2ND FLOOR",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225548",
            "telephone_number": "216-832-7800",
            "fax_number": "216-274-9335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23980 CHAGRIN BLVD",
            "address_2": "SUITE #203, 2ND FLOOR",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225548",
            "telephone_number": "216-832-7800",
            "fax_number": "216-274-9335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "KRISTIE",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "LMTP,CMA,CMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-18",
        "last_updated": "2013-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OH",
            "license": "33-019973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Geyer, MD
• Tarek Rashad Gharibeh, M.D
• Bethany Rose Ghattas
• Peter M Ghobrial, M.D.
• Natale Giangrasso
• Solena Marie Gibson, LISW-S
• Julianne R Gicei, CNP
• Donna Gigliotti, NP-C
• Heather M. Gill, PCC
• Myrna Rothchild Gill, LPCC OH E0000094

• Massage Therapist in Beachwood, OH
• Providers in Beachwood, OH by specialty
• Massage Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2013; 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.