Active NPI
Scott Benjamin Gibson, LMT
- Massage Therapist
- Ocean Shores, WA
National Provider Identifier
1558947838
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 61108550
- Practice address
- 848 Ocean Shores Blvd NW #1
Ocean Shores, WA 98569 - Phone
- (360) 289-2835
- NPI assigned
- Mar 18, 2021
- 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 | 61108550 | WA | Primary |
Addresses
Primary practice location
848 Ocean Shores Blvd NW #1
Ocean Shores, WA 98569
Mailing address
1900 Broadway Ave TRLR 1
Hoquiam, WA 98550-1148
Phone (360) 660-5958
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 |
|---|---|---|---|
| 61108550 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645401600000",
"number": "1558947838",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 BROADWAY AVE TRLR 1",
"city": "HOQUIAM",
"state": "WA",
"postal_code": "985501148",
"telephone_number": "360-660-5958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "848 OCEAN SHORES BLVD NW #1",
"city": "OCEAN SHORES",
"state": "WA",
"postal_code": "98569",
"telephone_number": "360-289-2835"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBSON",
"first_name": "SCOTT",
"middle_name": "BENJAMIN",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-03-18",
"last_updated": "2022-02-21",
"certification_date": "2022-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "61108550",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ocean Shores, WA
- Daniel Carl Burns MSPT Inc PS (Ocean Shores Therapy Services)
- Emeritus Corporation (Brookdale Ocean Shores)
- Express Yourself, LLC
- Doreen Charlotte Gaffney, LMHC
- Beatriz Garcia Cardenas
- Grays Harbor Community Hospital (GHCH Ocean Shores Clinic)
- Grays Harbor Community Hospital (GHCH Ocean Shores Clinic)
- Anita Kathleen Guinn, CCC-SLP
- Mary Lou Haase, L.M.P.
- Michele A Hansen, ARNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.