Individual provider Active NPI

Ellen Fischler Gauba, LMT

  • Massage Therapist
  • Ooltewah, TN
National Provider Identifier
1609645100
Registry record updated Dec 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
0000013913 Issued in TN
Practice address
9325 Apison Pike Ste 137
Ooltewah, TN 37363-3805
Phone
(310) 617-7045
NPI assigned
Dec 26, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 26, 2023

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 0000013913 TN Primary

Addresses

Primary practice location

9325 Apison Pike Ste 137
Ooltewah, TN 37363-3805

Mailing address

9239 Lawford Way Apt 207
Ooltewah, TN 37363-5002
Phone (310) 617-7045

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
0000013913TNMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1703548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703548800000",
    "number": "1609645100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9239 LAWFORD WAY APT 207",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373635002",
            "telephone_number": "310-617-7045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9325 APISON PIKE STE 137",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373633805",
            "telephone_number": "310-617-7045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISCHLER GAUBA",
        "first_name": "ELLEN",
        "name_prefix": "Mrs.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-26",
        "last_updated": "2023-12-26",
        "certification_date": "2023-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "TN",
            "license": "0000013913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ooltewah, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 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.

Verify at the official NPI Registry.