Active NPI
Jeffrey Gearhart, LMP
- Massage Therapist
- Silverdale, WA
National Provider Identifier
1497057764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA60192656
- Practice address
- 2400 NW Myhre Rd
#101
Silverdale, WA 98383-7672 - Phone
- (360) 981-3835
- NPI assigned
- Nov 18, 2010
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA60192656 | WA | Primary |
Addresses
Primary practice location
2400 NW Myhre Rd
#101
Silverdale, WA 98383-7672
Mailing address
12010 Daphne LN NW
#D210
Silverdale, WA 98383-8773
Phone (360) 981-3835
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 |
|---|---|---|---|
| MA60192656 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1290038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300406400000",
"number": "1497057764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12010 DAPHNE LN NW",
"address_2": "#D210",
"city": "SILVERDALE",
"state": "WA",
"postal_code": "983838773",
"telephone_number": "360-981-3835"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 NW MYHRE RD",
"address_2": "#101",
"city": "SILVERDALE",
"state": "WA",
"postal_code": "983837672",
"telephone_number": "360-981-3835"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEARHART",
"first_name": "JEFFREY",
"credential": "LMP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-11-18",
"last_updated": "2011-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA60192656",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Silverdale, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.