Active NPI
Gayle Reva Temkin, MT
- Specialist
- Austin, TX
National Provider Identifier
1447447297
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 0920
- Practice address
- 10801 Old Manchaca Rd Apt 1908
Austin, TX 78748-1376 - Phone
- (512) 351-5538
- NPI assigned
- Sep 26, 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 0920 | TX | Primary |
Addresses
Primary practice location
10801 Old Manchaca Rd Apt 1908
Austin, TX 78748-1376
Mailing address
10801 Old Manchaca Rd Apt 1908
Austin, TX 78748-1376
Phone (512) 351-5538
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0920 | Other | TX | MASSAGE THERAPIST |
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
- Credentials
- Medical Technician
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0920 | TX | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190764800000",
"number": "1447447297",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10801 OLD MANCHACA RD APT 1908",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787481376",
"telephone_number": "512-351-5538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10801 OLD MANCHACA RD APT 1908",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787481376",
"telephone_number": "512-351-5538"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEMKIN",
"first_name": "GAYLE",
"middle_name": "REVA",
"name_prefix": "Ms.",
"credential": "MT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-09-26",
"last_updated": "2007-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TX",
"license": "0920",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASSAGE THERAPIST",
"identifier": "0920",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.