Organization Active NPI

Gabrielle Neuromuscular Therapy LLC

  • Massage Therapist
  • Charleston, SC
National Provider Identifier
1760991418
Registry record updated Sep 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
8955 Issued in SC
Legal business name
GABRIELLE NEUROMUSCULAR THERAPY LLC
Practice address
720 Magnolia Rd Ste 12
Charleston, SC 29407-7094
Phone
(843) 214-8646
NPI assigned
Sep 26, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2017

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

Authorized official

Name
Gabrielle Bankston, LMTNPI 1710360847
Title
Owner
Phone
(843) 214-8646

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X 8955 SC Primary

Addresses

Primary practice location

720 Magnolia Rd Ste 12
Charleston, SC 29407-7094

Mailing address

720 Magnolia Rd Ste 12
Charleston, SC 29407-7094

National Provider Directory

National Provider Directory

Locations

720 Magnolia Rd
Ste 12
Charleston, SC 29407
Phone (843) 214-8646

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1506384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506384000000",
    "number": "1760991418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 MAGNOLIA RD STE 12",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294077094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 MAGNOLIA RD STE 12",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294077094",
            "telephone_number": "843-214-8646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GABRIELLE NEUROMUSCULAR THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-26",
        "last_updated": "2017-09-26",
        "status": "A",
        "authorized_official_last_name": "BANKSTON",
        "authorized_official_first_name": "GABRIELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-214-8646",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "SC",
            "license": "8955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2017; 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.