Individual provider Active NPI

Gabrielle Kangas, LMT

  • Massage Therapist
  • Salem, OR
National Provider Identifier
1477328029
Registry record updated Nov 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
27974 Issued in OR
Practice address
2150 Commercial St SE Ste 10
Salem, OR 97302-5379
Phone
(971) 707-4706
Fax
(971) 707-4705
NPI assigned
Nov 22, 2023
Last updated
Nov 22, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 27974 OR Primary

Addresses

Primary practice location

2150 Commercial St SE Ste 10
Salem, OR 97302-5379

Mailing address

2150 Commercial St SE Ste 10
Salem, OR 97302-5379
Phone (971) 707-4706

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

LicenseStateTypeSpecialty
27974ORMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jordan E Sajovic, PC CurrentSince Nov 26, 2023 Accepting new patients

Locations

2150 Commercial St SE
Ste 10
Salem, OR 97302
Phone (971) 707-4706

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1700611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700611200000",
    "number": "1477328029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 COMMERCIAL ST SE STE 10",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973025379",
            "telephone_number": "971-707-4706",
            "fax_number": "971-707-4705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 COMMERCIAL ST SE STE 10",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973025379",
            "telephone_number": "971-707-4706",
            "fax_number": "971-707-4705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANGAS",
        "first_name": "GABRIELLE",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-22",
        "last_updated": "2023-11-22",
        "certification_date": "2023-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "27974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2023; 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.