Jessi Gates Brock, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

LMT-LMT-LIC-690 Issued in MT

Practice address

735 Stoddard St
Missoula, MT 59802-2501

Phone

(406) 531-6280

NPI assigned

Nov 16, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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.

• Good Medicine Acupuncture & Massage, LLC

  • Acupuncturist
  • Missoula, MT
  • NPI 1245002930

  Massage Therapist

  NPD
• PRH, LLC Dba Good Medicine Acupuncture & Massage

  • Acupuncturist
  • Bozeman, MT
  • NPI 1699548487

  Massage Therapist

  NPD

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

{
    "created_epoch": "1447632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447632000000",
    "number": "1376917245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 STODDARD ST",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598022501",
            "telephone_number": "406-531-6280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 STODDARD ST",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598022501",
            "telephone_number": "406-531-6280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GATES BROCK",
        "first_name": "JESSI",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-16",
        "last_updated": "2015-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MT",
            "license": "LMT-LMT-LIC-690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seth Wayne Garrett, SWLC, LAC
• Tim Garrett, D.D.S.
• Gary P. Harvey MD PC
• Henry H Gary, M.D.
• Joseph Michael Gassenberg, MD
• Gateway Physical Therapy and Wellness PC
• Gathering Place Counseling Center PLLC
• Kelsey Marie Gauthier, RD, LN
• Amy Gazy, SWLC
• Krystin Gehrich

• Massage Therapist in Missoula, MT
• Providers in Missoula, MT by specialty
• Massage Therapist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2015; 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.