Active NPI
Jacqueline Gomez-Saballoz, CMT
- Massage Therapist
- Arlington, VA
National Provider Identifier
1295039766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 0019005403
- Practice address
- 5610 Lee Hwy
Arlington, VA 22207-1445 - Phone
- (703) 703-2375
- Fax
- (703) 532-1172
- NPI assigned
- Dec 27, 2010
- 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 | 0019005403 | VA | Primary |
Addresses
Primary practice location
5610 Lee Hwy
Arlington, VA 22207-1445
Mailing address
902 Ellison St
Apt 612
Falls Church, VA 22046-3021
Phone (202) 714-2227
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 |
|---|---|---|---|
| 0019005403 | VA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1293408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325635200000",
"number": "1295039766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "902 ELLISON ST",
"address_2": "APT 612",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "220463021",
"telephone_number": "202-714-2227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5610 LEE HWY",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222071445",
"telephone_number": "703-703-2375",
"fax_number": "703-532-1172"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOMEZ-SABALLOZ",
"first_name": "JACQUELINE",
"credential": "CMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-12-27",
"last_updated": "2012-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "VA",
"license": "0019005403",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arlington, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.