Active NPI
Horacio Gomez Gutierrez, LMT
- Massage Therapist
- Salem, OR
National Provider Identifier
1295772499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 11938
- Practice address
- 445 Union St NE
Salem, OR 97301 - Phone
- (503) 991-2732
- NPI assigned
- May 31, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | |||
| Massage Therapist | 225700000X | 11938 | OR | Primary |
Addresses
Primary practice location
445 Union St NE
Salem, OR 97301
Mailing address
1898 Brandon Ave NE
Keizer, OR 97303
Phone (503) 991-2732
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 |
|---|---|---|---|
| 11938 | OR | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347235200000",
"number": "1295772499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1898 BRANDON AVE NE",
"city": "KEIZER",
"state": "OR",
"postal_code": "97303",
"telephone_number": "503-991-2732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "445 UNION ST NE",
"city": "SALEM",
"state": "OR",
"postal_code": "97301",
"telephone_number": "503-991-2732"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOMEZ GUTIERREZ",
"first_name": "HORACIO",
"name_prefix": "Mr.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-31",
"last_updated": "2012-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OR",
"license": "11938",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.