Individual provider Active NPI

Pamela F Gerlich, LMP

  • Massage Therapist
  • Brier, WA
National Provider Identifier
1760568141
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA00013326 Issued in WA
Practice address
2101 N Castle Way
Brier, WA 98036-8327
Phone
(425) 483-0647
Fax
(425) 483-0647
NPI assigned
Oct 28, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 MA00013326 WA Primary

Addresses

Primary practice location

2101 N Castle Way
Brier, WA 98036-8327

Mailing address

2101 N Castle Way
Brier, WA 98036-8327
Phone (425) 483-0647

Other identifiers 1

IdentifierTypeStateIssuer
0180376OtherWALABOR AND INDUSTRY

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
MA00013326WAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1161993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760568141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 N CASTLE WAY",
            "city": "BRIER",
            "state": "WA",
            "postal_code": "980368327",
            "telephone_number": "425-483-0647",
            "fax_number": "425-483-0647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 N CASTLE WAY",
            "city": "BRIER",
            "state": "WA",
            "postal_code": "980368327",
            "telephone_number": "425-483-0647",
            "fax_number": "425-483-0647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERLICH",
        "first_name": "PAMELA",
        "middle_name": "F",
        "name_prefix": "Ms.",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00013326",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR AND INDUSTRY",
            "identifier": "0180376",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brier, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.