Individual provider Active NPI

Michele Lee Gubish, LMT, PTA

  • Physical Therapy Assistant
  • Bethlehem, PA
National Provider Identifier
1801262225
Registry record updated Mar 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
TE1004626 Issued in PA
Practice address
5325 Northgate Dr
Suite 200
Bethlehem, PA 18017-9411
Phone
(484) 550-7735
NPI assigned
Aug 19, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X TE1004626 PA Primary
Massage Therapist 225700000X MSG001163 PA

Addresses

Primary practice location

5325 Northgate Dr
Suite 200
Bethlehem, PA 18017-9411

Mailing address

5325 Northgate Dr
Suite 200
Bethlehem, PA 18017-9411
Phone (484) 550-7735

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
TE1004626PAMDPhysical Therapy Assistant
MSG001163PAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1439942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489708800000",
    "number": "1801262225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5325 NORTHGATE DR",
            "address_2": "SUITE 200",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180179411",
            "telephone_number": "484-550-7735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5325 NORTHGATE DR",
            "address_2": "SUITE 200",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180179411",
            "telephone_number": "484-550-7735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUBISH",
        "first_name": "MICHELE",
        "middle_name": "LEE",
        "credential": "LMT, PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-19",
        "last_updated": "2017-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "PA",
            "license": "TE1004626",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "PA",
            "license": "MSG001163",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.