Emily Gierut, L.M.T

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

227.015907 Issued in IL

Practice address

314 W Rollins Rd Ste B
Round Lake Beach, IL 60073-1204

Phone

(847) 546-4220

NPI assigned

Jun 22, 2018

Last updated

Jun 22, 2018By 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

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": "1529625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529625600000",
    "number": "1740775766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3112 W LORIENT DR",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600506102",
            "telephone_number": "815-206-9248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 W ROLLINS RD STE B",
            "city": "ROUND LAKE BEACH",
            "state": "IL",
            "postal_code": "600731204",
            "telephone_number": "847-546-4220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIERUT",
        "first_name": "EMILY",
        "credential": "L.M.T",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-22",
        "last_updated": "2018-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "IL",
            "license": "227.015907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Massage Therapist in Round Lake Beach, IL
• Providers in Round Lake Beach, IL by specialty
• Massage Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2018; 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.