Individual provider Active NPI

Ivy E Gaiser

  • Massage Therapist
  • Olympia, WA
National Provider Identifier
1396253779
Registry record updated Jan 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA60751086 Issued in WA
Practice address
1306 Rogers St NW
Olympia, WA 98502-4657
Phone
(971) 207-8630
Fax
(971) 207-8630
NPI assigned
Jan 18, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA60751086 WA Primary

Addresses

Primary practice location

1306 Rogers St NW
Olympia, WA 98502-4657

Mailing address

1306 Rogers St NW
Olympia, WA 98502-4657
Phone (971) 207-8630

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

LicenseStateTypeSpecialty
MA60751086WAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1516233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516233600000",
    "number": "1396253779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1306 ROGERS ST NW",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985024657",
            "telephone_number": "971-207-8630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1306 ROGERS ST NW",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985024657",
            "telephone_number": "971-207-8630",
            "fax_number": "971-207-8630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAISER",
        "first_name": "IVY",
        "middle_name": "E",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-18",
        "last_updated": "2018-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60751086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2018; 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.