Active NPI
Jonathan Gutstadt, LMT
- Massage Therapist
- Reno, NV
National Provider Identifier
1609747765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 9145
- Practice address
- 4600 Kietzke LN Ste M244
Reno, NV 89502-5013 - Phone
- (775) 400-8876
- NPI assigned
- Sep 12, 2025
- 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 | 9145 | NV | Primary |
Addresses
Primary practice location
4600 Kietzke LN Ste M244
Reno, NV 89502-5013
Mailing address
4600 Kietzke LN Ste M244
Reno, NV 89502-5013
Phone (775) 400-8876
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 |
|---|---|---|---|
| 9145 | NV | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1757635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761264000000",
"number": "1609747765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4600 KIETZKE LN STE M244",
"city": "RENO",
"state": "NV",
"postal_code": "895025013",
"telephone_number": "775-400-8876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4600 KIETZKE LN STE M244",
"city": "RENO",
"state": "NV",
"postal_code": "895025013",
"telephone_number": "775-400-8876"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUTSTADT",
"first_name": "JONATHAN",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-09-12",
"last_updated": "2025-10-24",
"certification_date": "2025-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "NV",
"license": "9145",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.