Individual provider Active NPI

Ashley Gaytan, LMT

  • Massage Therapist
  • Champaign, IL
National Provider Identifier
1902424955
Registry record updated Jul 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
227014334 Issued in IL
Practice address
2906 Crossing CT
Champaign, IL 61822-6163
Phone
(217) 356-6543
NPI assigned
Jul 7, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2020

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 227014334 IL Primary

Addresses

Primary practice location

2906 Crossing CT
Champaign, IL 61822-6163

Mailing address

2906 Crossing CT
Champaign, IL 61822-6163

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Ashley.gaytan@mettlercenter.com Health Information Exchange (HIE)

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
227014334ILMDMassage Therapist

Interoperability endpoints

  • Direct secure messaging: ashley.gaytan@mettlercenter.com

NPI Registry JSON

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

{
    "created_epoch": "1594080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594080000000",
    "number": "1902424955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2906 CROSSING CT",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618226163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2906 CROSSING CT",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618226163",
            "telephone_number": "217-356-6543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAYTAN",
        "first_name": "ASHLEY",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-07",
        "last_updated": "2020-07-07",
        "certification_date": "2020-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "IL",
            "license": "227014334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Ashley.gaytan@mettlercenter.com",
            "affiliation": "N",
            "endpointDescription": "Work email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2906 Crossing Ct",
            "city": "Champaign",
            "state": "IL",
            "country_code": "US",
            "postal_code": "618226163",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Champaign, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2020; 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.