Individual provider Active NPI

Timothy Robert Gosney, LMT

  • Massage Therapist
  • Stuart, FL
National Provider Identifier
1669613600
Registry record updated Mar 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA0012555 Issued in FL
Practice address
915 SE Ocean Blvd
Suite 3
Stuart, FL 34994-2426
Phone
(772) 220-4044
Fax
(772) 220-4044
NPI assigned
Mar 22, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2009

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 MA0012555 FL Primary

Addresses

Primary practice location

915 SE Ocean Blvd
Suite 3
Stuart, FL 34994-2426

Mailing address

915 SE Ocean Blvd
Suite 3
Stuart, FL 34994-2426
Phone (772) 220-4044

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
MA0012555FLMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1237680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237680000000",
    "number": "1669613600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 SE OCEAN BLVD",
            "address_2": "SUITE 3",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942426",
            "telephone_number": "772-220-4044",
            "fax_number": "772-220-4044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 SE OCEAN BLVD",
            "address_2": "SUITE 3",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942426",
            "telephone_number": "772-220-4044",
            "fax_number": "772-220-4044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOSNEY",
        "first_name": "TIMOTHY",
        "middle_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-03-22",
        "last_updated": "2009-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA0012555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2009; 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.