Active NPI
Gilbert Bryant Goff, LMT
- Massage Therapist
- Coeur d'Alene, ID
National Provider Identifier
1427326602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA 60233180
- Practice address
- 1034 N 3Rd St
Coeur D Alene, ID 83814-3145 - Phone
- (208) 691-4424
- Fax
- (208) 772-8311
- NPI assigned
- Dec 2, 2011
- Sex
- Male
- Sole proprietor
- No
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 60233180 | WA | Primary |
Addresses
Primary practice location
1034 N 3Rd St
Coeur D Alene, ID 83814-3145
Mailing address
1923 E Canfield Ave
Dalton Gardens, ID 83815-9584
Phone (208) 691-4424
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 60233180 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322784000000",
"number": "1427326602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1923 E CANFIELD AVE",
"city": "DALTON GARDENS",
"state": "ID",
"postal_code": "838159584",
"telephone_number": "208-691-4424",
"fax_number": "208-772-8311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1034 N 3RD ST",
"city": "COEUR D ALENE",
"state": "ID",
"postal_code": "838143145",
"telephone_number": "208-691-4424",
"fax_number": "208-772-8311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOFF",
"first_name": "GILBERT",
"middle_name": "BRYANT",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-12-02",
"last_updated": "2011-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA 60233180",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coeur d'Alene, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.