Terrell M Gill

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

26793 Issued in OR

Practice address

820 Crater Lake Ave
Medford, OR 97504-6581

Phone

(541) 770-1606

NPI assigned

Feb 16, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Epic Wellness NW

  • Massage Therapist
  • Medford, OR
  • NPI 1740661636
  NPD (past)

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

{
    "created_epoch": "1644969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644969600000",
    "number": "1346995578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 CRATER LAKE AVE STE 113",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975046581",
            "telephone_number": "541-770-1606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 CRATER LAKE AVE",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975046581",
            "telephone_number": "541-770-1606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILL",
        "first_name": "TERRELL",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-16",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "26793",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LMT #",
            "identifier": "26793",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "epicwellnessnw@gmail.com",
            "affiliation": "N",
            "endpointDescription": "epic email",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "clinic",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "work",
            "address_1": "820 Crater Lake Ave Ste 113",
            "city": "Medford",
            "state": "OR",
            "country_code": "US",
            "postal_code": "975046581",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Michael Donovan Gilbert, RPH
• Vanessa Gilbert, LMT
• Allison Giles, FNP-C, FNP-BC
• Rebekka Gill
• Sarah A Gill, CRM
• Stephen T Gillespie, D.D.S
• Patrick J Gillette
• G Thomas Gilmore, M.D.
• David R Gilmour, MD
• Kimberly Joyce Hueter Gilworth, MA, CCC-SLP, JD

• Massage Therapist in Medford, OR
• Providers in Medford, OR by specialty
• Massage Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2022; 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.