Active NPI
John W Gilmore, LMT
- Massage Therapist
- Glenside, PA
National Provider Identifier
1366112534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MSG000279
- Practice address
- 8311 Macarthur Rd
Glenside, PA 19038-7523 - Phone
- (267) 625-0914
- NPI assigned
- Sep 17, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MSG000279 | PA | Primary |
Addresses
Primary practice location
8311 Macarthur Rd
Glenside, PA 19038-7523
Mailing address
8311 Macarthur Rd
Glenside, PA 19038-7523
Phone (267) 625-0914
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 225700000X | Other | PA | NA |
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 |
|---|---|---|---|
| MSG000279 | PA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631836800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631836800000",
"number": "1366112534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8311 MACARTHUR RD",
"city": "GLENSIDE",
"state": "PA",
"postal_code": "190387523",
"telephone_number": "267-625-0914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8311 MACARTHUR RD",
"city": "GLENSIDE",
"state": "PA",
"postal_code": "190387523",
"telephone_number": "267-625-0914"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILMORE",
"first_name": "JOHN",
"middle_name": "W",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-09-17",
"last_updated": "2021-09-17",
"certification_date": "2021-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "PA",
"license": "MSG000279",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NA",
"identifier": "225700000X",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Glenside, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.