Tayonon E Gbala, LMT,OMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

227003033 Issued in IL

Practice address

918 S Austin Blvd Apt 2S
Oak Park, IL 60304-2369

Phone

(708) 205-2363

NPI assigned

Mar 19, 2021

Last updated

Mar 19, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1616112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616112000000",
    "number": "1457937526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "918 S AUSTIN BLVD APT 2S",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603042369",
            "telephone_number": "708-205-2363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "918 S AUSTIN BLVD APT 2S",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603042369",
            "telephone_number": "708-205-2363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GBALA",
        "first_name": "TAYONON",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "LMT,OMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-19",
        "last_updated": "2021-03-19",
        "certification_date": "2021-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "IL",
            "license": "227003033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Clinicsense",
            "affiliation": "N",
            "endpointDescription": "Software for clinical Massage practice",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "918 S Austin Blvd Apt 2S",
            "city": "Oak Park",
            "state": "IL",
            "country_code": "US",
            "postal_code": "603042369",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Monica J Garrett
• Dennis Garrido Aviles
• Joyce Garside
• Emily Garza, LPC
• Jennifer Gawlik
• Kinfe Gebeyehu, MD
• Kyle Elizabeth Geissler, M.D.
• Samantha V Gennell
• George F. Dietz, MD
• Ashley A George, PA-C

• Massage Therapist in Oak Park, IL
• Providers in Oak Park, IL by specialty
• Massage Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.