Loraine Gordon, LMT, CNA

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA44682 Issued in FL

Practice address

341 James Cir
Lake Alfred, FL 33850-2753

Phone

(863) 449-0929

NPI assigned

Nov 13, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Mrs. Loraine Gibbs Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• Go Spa Wellness

  • Massage Therapist
  • Lake Alfred, FL
  • NPI 1497440846
  NPD Authorized official

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681084800000",
    "number": "1942371885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "341 JAMES CIR",
            "city": "LAKE ALFRED",
            "state": "FL",
            "postal_code": "338502753",
            "telephone_number": "863-449-0929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 JAMES CIR",
            "city": "LAKE ALFRED",
            "state": "FL",
            "postal_code": "338502753",
            "telephone_number": "863-449-0929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "LORAINE",
        "name_prefix": "Ms.",
        "credential": "LMT, CNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-13",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA44682",
            "primary": true
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "FL",
            "license": "52945",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORAINE",
            "last_name": "GIBBS",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lavonna J Duncan
• Sentoria R Euline
• Sheri Annette Follis, PTA
• Jeff Gallichan, PTA
• Go Spa Wellness
• Kelley M. Griffin
• Nadiyah Guerrier
• Richard Murphy Hanley, DPM
• Marcos Antonio Hernandez, RN
• Honesty Home Care LLC

• Massage Therapist in Lake Alfred, FL
• Providers in Lake Alfred, FL by specialty
• Massage Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.