Gary H Vigeant, LMP

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA 00020866 Issued in WA

Practice address

316 E Fourth Plain Blvd
Suite B
Vancouver, WA 98663-3074

Phone

(360) 993-0599

Fax

(360) 993-0599

NPI assigned

Nov 20, 2006

Last updated

Sep 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• A Bridge to Wellness, Inc.

  • Massage Therapist
  • Vancouver, WA
  • NPI 1184879751
  NPD (past) Authorized official

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189296000000",
    "number": "1902970296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 E 29TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986632713",
            "telephone_number": "360-695-0378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 E FOURTH PLAIN BLVD",
            "address_2": "SUITE B",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986633074",
            "telephone_number": "360-993-0599",
            "fax_number": "360-993-0599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIGEANT",
        "first_name": "GARY",
        "middle_name": "H",
        "name_prefix": "Mr.",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2007-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA 00020866",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA00022138",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "11901",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victory Spine and Sport PLLC (Victory Spine and Sport)
• Jimena Vicuna
• Nancy Jo Vieira
• Tatiana Dawn Viera
• Sofia Viewkova
• Karen M Vigeland, MD
• Vigor Natural Health Clinic, LLC
• Kate Vijarro
• Marina Vile
• Allison Vilhauer, MD

• Massage Therapist in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2007; 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.