Individual provider Active NPI

Jeanie Gail, LMP

  • Massage Therapist
  • Bellevue, WA
National Provider Identifier
1609236835
Registry record updated May 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA60288047 Issued in WA
Practice address
1750 112TH Ave NE Ste C240
Bellevue, WA 98004-5233
Phone
(425) 688-1994
NPI assigned
Mar 1, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA60288047 WA Primary

Addresses

Primary practice location

1750 112TH Ave NE Ste C240
Bellevue, WA 98004-5233

Mailing address

1750 112TH Ave NE Ste C240
Bellevue, WA 98004-5233
Phone (425) 688-1994

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

LicenseStateTypeSpecialty
MA60288047WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Jerry Wang, D.C., P.S., Inc. Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1456790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462838400000",
    "number": "1609236835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 112TH AVE NE STE C240",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980045233",
            "telephone_number": "425-688-1994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 112TH AVE NE STE C240",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980045233",
            "telephone_number": "425-688-1994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAIL",
        "first_name": "JEANIE",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-01",
        "last_updated": "2016-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60288047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.