Gina Campala, L.M.T.

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA31890 Issued in FL

Practice address

101 N US 1 Ste 117
Fort Pierce, FL 34950-4254

Phone

(772) 618-0429

NPI assigned

Oct 5, 2010

Last updated

Oct 27, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1286236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1679882849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 N US 1 STE 117",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349504254",
            "telephone_number": "772-618-0429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N US 1 STE 117",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349504254",
            "telephone_number": "772-618-0429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPALA",
        "first_name": "GINA",
        "credential": "L.M.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-05",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA31890",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA DEPARTMENT OF HEALTH",
            "identifier": "MA31890",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OFFICE OF THE PROFESSIONS",
            "identifier": "023589",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Massage Therapist in Fort Pierce, FL
• Providers in Fort Pierce, FL by specialty
• Massage Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; 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.