Active NPI
Betty A. Gibbons, NCMMT
- Massage Therapist
- Mountain Top, PA
National Provider Identifier
1366655573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 000398
- Practice address
- 1 Allan CT
Mountain Top, PA 18707-1263 - Phone
- (570) 474-9522
- Fax
- (570) 474-9522
- NPI assigned
- May 7, 2007
- 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 | 000398 | PA | Primary |
Addresses
Primary practice location
1 Allan CT
Mountain Top, PA 18707-1263
Mailing address
1 Allan CT
Mountain Top, PA 18707-1263
Phone (570) 474-9522
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 |
|---|---|---|---|
| 000398 | PA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healing Touch Massage Therapy, Inc | Massage Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Massage Therapist
- Mountain Top, PA
- NPI 1023132271
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297728000000",
"number": "1366655573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 ALLAN CT",
"city": "MOUNTAIN TOP",
"state": "PA",
"postal_code": "187071263",
"telephone_number": "570-474-9522",
"fax_number": "570-474-9522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 ALLAN CT",
"city": "MOUNTAIN TOP",
"state": "PA",
"postal_code": "187071263",
"telephone_number": "570-474-9522",
"fax_number": "570-474-9522"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBBONS",
"first_name": "BETTY",
"middle_name": "A.",
"credential": "NCMMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-07",
"last_updated": "2011-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "PA",
"license": "000398",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mountain Top, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.