Active NPI
Meagen M. Gore
- Massage Therapist
- Orting, WA
National Provider Identifier
1396948378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA00022403
- Practice address
- 215 Whitesell St NW Ste C102
Orting, WA 98360-9329 - Phone
- (360) 893-5300
- Fax
- (360) 893-5314
- NPI assigned
- Jun 7, 2007
- Last updated
- Jul 8, 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 | MA00022403 | WA | Primary |
Addresses
Primary practice location
215 Whitesell St NW Ste C102
Orting, WA 98360-9329
Mailing address
PO Box 1414
Orting, WA 98360-1414
Phone (360) 893-5300
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 |
|---|---|---|---|
| MA00022403 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jones Family Chiropractic | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Orting, WA
- NPI 1003984121
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1396948378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1414",
"city": "ORTING",
"state": "WA",
"postal_code": "983601414",
"telephone_number": "360-893-5300",
"fax_number": "360-893-5314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 WHITESELL ST NW STE C102",
"city": "ORTING",
"state": "WA",
"postal_code": "983609329",
"telephone_number": "360-893-5300",
"fax_number": "360-893-5314"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORE",
"first_name": "MEAGEN",
"middle_name": "M.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA00022403",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orting, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.