Active NPI
Ellie Gunter, L.M.T.
- Massage Therapist
- St Petersburg, FL
National Provider Identifier
1588816847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA0005108
- Practice address
- 5141 Seminole Blvd
Unit C
St Petersburg, FL 33708-3365 - Phone
- (727) 393-2226
- Fax
- (727) 393-2226
- NPI assigned
- Oct 17, 2008
- 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 | MA0005108 | FL | Primary |
Addresses
Primary practice location
5141 Seminole Blvd
Unit C
St Petersburg, FL 33708-3365
Mailing address
8737 112TH Way
Seminole, FL 33772-3642
Phone (727) 393-2226
Other names 1
- Mrs. Ellie Stafford-Gunter
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 |
|---|---|---|---|
| MA0005108 | FL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224460800000",
"number": "1588816847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8737 112TH WAY",
"city": "SEMINOLE",
"state": "FL",
"postal_code": "337723642",
"telephone_number": "727-393-2226",
"fax_number": "727-393-2226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5141 SEMINOLE BLVD",
"address_2": "UNIT C",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337083365",
"telephone_number": "727-393-2226",
"fax_number": "727-393-2226"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUNTER",
"first_name": "ELLIE",
"name_prefix": "Mrs.",
"credential": "L.M.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-10-17",
"last_updated": "2008-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA0005108",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ELLIE",
"last_name": "STAFFORD-GUNTER",
"prefix": "MRS.",
"credential": "L.M.T.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.