Active NPI
Gail Walsh, LMT
- Massage Therapist
- Gulf Breeze, FL
National Provider Identifier
1851615447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA#31796
- Practice address
- 1171 Gulf Breeze Pkwy
Gulf Breeze, FL 32561-4835 - Phone
- (850) 261-5678
- NPI assigned
- Mar 25, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA#31796 | FL | Primary |
Addresses
Primary practice location
1171 Gulf Breeze Pkwy
Gulf Breeze, FL 32561-4835
Mailing address
4716 Kitty Hawk Cir
Gulf Breeze, FL 32563-9233
Phone (850) 261-5678
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MA#31796 | Other | FL | FLORIDA STATE MASSAGE LICENSE NUMBER |
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
| License | State | Type | Specialty |
|---|---|---|---|
| MA#31796 | FL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269475200000",
"number": "1851615447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4716 KITTY HAWK CIR",
"city": "GULF BREEZE",
"state": "FL",
"postal_code": "325639233",
"telephone_number": "850-261-5678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1171 GULF BREEZE PKWY",
"city": "GULF BREEZE",
"state": "FL",
"postal_code": "325614835",
"telephone_number": "850-261-5678"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALSH",
"first_name": "GAIL",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-03-25",
"last_updated": "2010-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA#31796",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA STATE MASSAGE LICENSE NUMBER",
"identifier": "MA#31796",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gulf Breeze, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.