Gina Buck, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

25332 Issued in OR

Practice address

634 NW Arizona Ave
Bend, OR 97703-3260

Phone

(541) 797-6744

NPI assigned

Jan 17, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Homeopathic Weight Management LLC/Evoke Healing Space and Spa

  • Massage Therapist
  • Bend, OR
  • NPI 1023885191
  NPD

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

{
    "created_epoch": "1737072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737072000000",
    "number": "1871304816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "634 NW ARIZONA AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977033260",
            "telephone_number": "541-797-6744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "634 NW ARIZONA AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977033260",
            "telephone_number": "541-797-6744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCK",
        "first_name": "GINA",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-17",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "25332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• BTW Mt. Bachelor Opco, LLC
• BTW Mt. Bachelor Opco, LLC
• Maria Buagas, RN
• Elise Bucher
• Gary D Buchholz, M.D.
• Carmel Pardisse Buckingham
• Maria Buckler
• Darcy Buckley
• Dorraine Budke, LMT
• Josephine Buehler

• Massage Therapist in Bend, OR
• Providers in Bend, OR by specialty
• Massage Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2025; 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.