Active NPI
Debbra Gaye Gould, LMT, MMT
- Mechanotherapist
- Graham, WA
National Provider Identifier
1457655383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mechanotherapist
- License
- MA00010263
- Practice address
- 14201 284TH St E
Graham, WA 98338-6994 - Phone
- (253) 722-6136
- Fax
- (253) 210-4521
- NPI assigned
- Jan 6, 2011
- Last updated
- Jan 6, 2011
- 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 |
|---|---|---|---|---|
| Mechanotherapist | 172M00000X | MA00010263 | WA | Primary |
Addresses
Primary practice location
14201 284TH St E
Graham, WA 98338-6994
Mailing address
14201 284TH St E
Graham, WA 98338-6994
Phone (253) 722-6136
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 |
|---|---|---|---|
| MA00010263 | WA | MD | Mechanotherapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294272000000",
"number": "1457655383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14201 284TH ST E",
"city": "GRAHAM",
"state": "WA",
"postal_code": "983386994",
"telephone_number": "253-722-6136",
"fax_number": "253-210-4521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14201 284TH ST E",
"city": "GRAHAM",
"state": "WA",
"postal_code": "983386994",
"telephone_number": "253-722-6136",
"fax_number": "253-210-4521"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOULD",
"first_name": "DEBBRA",
"middle_name": "GAYE",
"credential": "LMT, MMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-01-06",
"last_updated": "2011-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "172M00000X",
"taxonomy_group": "",
"desc": "Mechanotherapist",
"state": "WA",
"license": "MA00010263",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Graham, WA
- Ginnine Patrice Glauber-Wenisch, LMP
- Brandon Rae Gonzales
- Megan Lachelle Goodfellow
- Shannon Michelle Gorrie, PT, DPT, ETC.
- Travis Edwin Gottschalk, MS, LMHC
- Nichole Gould, CBT
- Graham Family Dental Care, PLLC (Graham Family Dental Care)
- Graham Medical Clinic
- Elizabeth G Grevey, PSYD, BCBA
- Pavlo Bohdan Gusak, DDS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.