Active NPI
Andrea Marie Gance, LMT
- Massage Therapist
- University Place, WA
National Provider Identifier
1407485659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA.61007023
- Practice address
- 3102 Bridgeport Way W
University Place, WA 98466-4525 - Phone
- (253) 565-0476
- NPI assigned
- Apr 8, 2020
- 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 | MA.61007023 | WA | Primary |
Addresses
Primary practice location
3102 Bridgeport Way W
University Place, WA 98466-4525
Mailing address
21803 42ND Ave E
Spanaway, WA 98387-6870
Phone (253) 476-0377
Other practice location 1
8615 S Tacoma Way
Tacoma, WA 98499-4542
Phone (253) 588-3355
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 |
|---|---|---|---|
| MA.61007023 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Olympus Spa | Massage Therapist | Past | Accepting new patients |
| Family Practice of Chiropractic Inc. P.S. | Past | Accepting new patients | |
| Olympus Spa Inc | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Chiropractor
- Gig Harbor, WA
- NPI 1184969974
-
- Massage Therapist
- Lakewood, WA
- NPI 1801274543
-
- Other Specialist/Technologist
- Lakewood, WA
- NPI 1912346222
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586304000000",
"number": "1407485659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21803 42ND AVE E",
"city": "SPANAWAY",
"state": "WA",
"postal_code": "983876870",
"telephone_number": "253-476-0377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3102 BRIDGEPORT WAY W",
"city": "UNIVERSITY PLACE",
"state": "WA",
"postal_code": "984664525",
"telephone_number": "253-565-0476"
}
],
"practiceLocations": [
{
"address_1": "8615 S Tacoma Way",
"address_purpose": "LOCATION",
"city": "Tacoma",
"state": "WA",
"postal_code": "984994542",
"country_code": "US",
"telephone_number": "253-588-3355",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GANCE",
"first_name": "ANDREA",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-04-08",
"last_updated": "2020-04-08",
"certification_date": "2020-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA.61007023",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in University Place, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.