Active NPI
Virginia Sue Gause, LMT
- Massage Therapist
- Lewisville, TX
National Provider Identifier
1518322130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT123416
- Practice address
- 500 E Round Grove Rd
Room #11
Lewisville, TX 75067-8309 - Phone
- (214) 679-7497
- NPI assigned
- Dec 24, 2015
- 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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MT123416 | TX | Primary |
Addresses
Primary practice location
500 E Round Grove Rd
Room #11
Lewisville, TX 75067-8309
Mailing address
PO Box 3904
Coppell, TX 75019-4440
Phone (214) 679-7497
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 |
|---|---|---|---|
| MT123416 | TX | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450915200000",
"number": "1518322130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3904",
"city": "COPPELL",
"state": "TX",
"postal_code": "750194440",
"telephone_number": "214-679-7497"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 E ROUND GROVE RD",
"address_2": "ROOM #11",
"city": "LEWISVILLE",
"state": "TX",
"postal_code": "750678309",
"telephone_number": "214-679-7497"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAUSE",
"first_name": "VIRGINIA",
"middle_name": "SUE",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-12-24",
"last_updated": "2015-12-24",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "TX",
"license": "MT123416",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lewisville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.