Active NPI
Kathleen Gaulden, LMT
- Massage Therapist
- Jupiter, FL
National Provider Identifier
1699968636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA 10639
- Practice address
- 210 Jupiter Lakes Blvd
Suite 5101
Jupiter, FL 33458-7191 - Phone
- (561) 741-1876
- Fax
- (561) 741-1877
- NPI assigned
- Aug 23, 2007
- Sex
- Female
- 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 | MA 10639 | FL | Primary |
Addresses
Primary practice location
210 Jupiter Lakes Blvd
Suite 5101
Jupiter, FL 33458-7191
Mailing address
6294 Leslie St
Jupiter, FL 33458-6642
Phone (561) 744-2873
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 |
|---|---|---|---|
| MA 10639 | FL | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Synergy Therapeutics Inc | Massage Therapist | 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": "1187827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187913600000",
"number": "1699968636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6294 LESLIE ST",
"city": "JUPITER",
"state": "FL",
"postal_code": "334586642",
"telephone_number": "561-744-2873"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 JUPITER LAKES BLVD",
"address_2": "SUITE 5101",
"city": "JUPITER",
"state": "FL",
"postal_code": "334587191",
"telephone_number": "561-741-1876",
"fax_number": "561-741-1877"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAULDEN",
"first_name": "KATHLEEN",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-23",
"last_updated": "2007-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA 10639",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jupiter, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.