Meww Gomez, LMBT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

249

Practice address

5701 Executive Center Dr Ste 350
Charlotte, NC 28212-8847

Phone

(704) 323-6718

NPI assigned

Apr 28, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Mythic Massage LLC

  • Clinic/Center
  • Charlotte, NC
  • NPI 1093339269
  NPD Authorized official

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

{
    "created_epoch": "1588032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1922629161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5701 EXECUTIVE CENTER DR STE 350",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282128847",
            "telephone_number": "704-323-6718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5701 EXECUTIVE CENTER DR STE 350",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282128847",
            "telephone_number": "704-323-6718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "MEWW",
        "credential": "LMBT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-28",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "VA",
            "license": "0019008213",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NC",
            "license": "17657",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": "249",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIRGINIA DEPARTMENT OF HEALTH PROFESSIONALS",
            "identifier": "0019008213",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTH CAROLINA BOARD OF MASSAGE AND BODYWORK THERAPY",
            "identifier": "17657",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTH CAROLINA BOARD OF MASSAGE AND BODYWORK THERAPY ESTABLISHMENT LICENSE",
            "identifier": "249",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paula Andrea Gomez-Ospina, CRNA
• Ann Elisabeth Gomez
• Dane Gomez
• Elisa Gomez, PA-C
• Jose C Gomez, DC
• Nohemy Gricel Gomez
• Oscar Gilberto Gomez, MD
• Wendy Iris Gomez, FNP-BC
• Natalia G Gonchar
• Swaroop Sadashiv Gonchikar, M.D.

• Massage Therapist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Massage Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; 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.