Active NPI
Caitlin Gorter, LMP
- Massage Therapist
- Seattle, WA
National Provider Identifier
1750774410
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA60529303
- Practice address
- 902 NE 65TH St
Seattle, WA 98115-5562 - Phone
- (206) 267-0863
- NPI assigned
- Mar 5, 2015
- Last updated
- Mar 5, 2015
- Sex
- Female
- Sole proprietor
- No
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 | MA60529303 | WA | Primary |
Addresses
Primary practice location
902 NE 65TH St
Seattle, WA 98115-5562
Mailing address
14027 Lake City Way NE
Apt E412
Seattle, WA 98125
Phone (360) 296-5500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 81-0595634 | Other | WA | DREAM CLINIC |
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 |
|---|---|---|---|
| MA60529303 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dreamclinic LLC | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Massage Therapist
- Seattle, WA
- NPI 1104969054
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1425513600000",
"number": "1750774410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14027 LAKE CITY WAY NE",
"address_2": "APT E412",
"city": "SEATTLE",
"state": "WA",
"postal_code": "98125",
"telephone_number": "360-296-5500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "902 NE 65TH ST",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981155562",
"telephone_number": "206-267-0863"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORTER",
"first_name": "CAITLIN",
"credential": "LMP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-05",
"last_updated": "2015-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA60529303",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DREAM CLINIC",
"identifier": "81-0595634",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.