NPIMap

Organization Active NPI

Gaylord Clinical Massage

  • Clinic/Center
  • Gaylord, MI
National Provider Identifier
1790140994
Registry record updated Dec 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
7501002044 Issued in MI
Legal business name
GAYLORD CLINICAL MASSAGE
Practice address
111 W Mitchell St
Gaylord, MI 49735-1481
Phone
(989) 732-3626
NPI assigned
Dec 15, 2015
Last updated
Dec 15, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2015

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

Authorized official

Name
Tricia Marie Orourke, CMT, LMTNPI 1831582295
Title
Owner
Phone
(989) 732-3626

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
Clinic/Center 261Q00000X 7501002044 MI Primary

Addresses

Primary practice location

111 W Mitchell St
Gaylord, MI 49735-1481

Mailing address

111 W Mitchell St
Gaylord, MI 49735-1481
Phone (989) 732-3626

National Provider Directory

National Provider Directory

Locations

111 W Mitchell St
Gaylord, MI 49735
Phone (989) 732-3626

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1450137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450137600000",
    "number": "1790140994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 W MITCHELL ST",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497351481",
            "telephone_number": "989-732-3626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 W MITCHELL ST",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497351481",
            "telephone_number": "989-732-3626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAYLORD CLINICAL MASSAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-15",
        "last_updated": "2015-12-15",
        "status": "A",
        "authorized_official_last_name": "OROURKE",
        "authorized_official_first_name": "TRICIA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-732-3626",
        "authorized_official_credential": "CMT, LMT"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MI",
            "license": "7501002044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaylord, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.

Verify at the official NPI Registry.