Individual provider Active NPI

Joellie Marie Gonseth, BS, LMT

  • Massage Therapist
  • Ocala, FL
National Provider Identifier
1801368642
Registry record updated Dec 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
15409 Issued in FL
Practice address
307 NE 12TH Ave
Ocala, FL 34470-5911
Phone
(352) 875-5515
Fax
(352) 355-1504
NPI assigned
Dec 18, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2018

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 15409 FL Primary

Addresses

Primary practice location

307 NE 12TH Ave
Ocala, FL 34470-5911

Mailing address

PO Box 5115
Ocala, FL 34478-5115
Phone (352) 875-5515

Other names 1

  • Joellie Marie Gonseth Professional name

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
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
15409FLMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1545091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545091200000",
    "number": "1801368642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5115",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344785115",
            "telephone_number": "352-875-5515",
            "fax_number": "352-355-1504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 NE 12TH AVE",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344705911",
            "telephone_number": "352-875-5515",
            "fax_number": "352-355-1504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONSETH",
        "first_name": "JOELLIE",
        "middle_name": "MARIE",
        "credential": "BS, LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-18",
        "last_updated": "2018-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "15409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOELLIE",
            "last_name": "GONSETH",
            "middle_name": "MARIE",
            "credential": "BS, LMT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Ocala, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2018; 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.