Active NPI
Aaron Leo Gray
- Massage Therapist
- Issaquah, WA
National Provider Identifier
1598462418
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 61384936
- Practice address
- 450 NW Gilman Blvd Ste 201
Issaquah, WA 98027-2722 - Phone
- (425) 835-2503
- Fax
- (425) 285-5436
- NPI assigned
- Feb 10, 2023
- Last updated
- Feb 10, 2023
- Sex
- Male
- Sole proprietor
- No
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 | 61384936 | WA | Primary |
Addresses
Primary practice location
450 NW Gilman Blvd Ste 201
Issaquah, WA 98027-2722
Mailing address
PO Box 3057
Issaquah, WA 98027-0137
Phone (425) 835-2503
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 |
|---|---|---|---|
| 61384936 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrive Integrative Health PLLC | Massage Therapist | Current | Accepting new patients |
Locations
450 NW Gilman Blvd
Ste 201
Issaquah, WA 98027
Phone (425) 391-0705
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": "1675987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675987200000",
"number": "1598462418",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3057",
"city": "ISSAQUAH",
"state": "WA",
"postal_code": "980270137",
"telephone_number": "425-835-2503",
"fax_number": "425-285-5436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 NW GILMAN BLVD STE 201",
"city": "ISSAQUAH",
"state": "WA",
"postal_code": "980272722",
"telephone_number": "425-835-2503",
"fax_number": "425-285-5436"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAY",
"first_name": "AARON",
"middle_name": "LEO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-02-10",
"last_updated": "2023-02-10",
"certification_date": "2023-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "61384936",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Issaquah, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.