Active NPI
William Gambrell
- Massage Therapist
- Bonita Springs, FL
National Provider Identifier
1942582747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA59397
- Practice address
- 24850 Old Hwy 41 Rd
Suite 17
Bonita Springs, FL 34135 - Phone
- (239) 947-3900
- Fax
- (239) 236-0647
- NPI assigned
- Sep 16, 2011
- Last updated
- Sep 16, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA59397 | FL | Primary |
Addresses
Primary practice location
24850 Old Hwy 41 Rd
Suite 17
Bonita Springs, FL 34135
Mailing address
3304 19TH St W
Lehigh Acres, FL 33971-5531
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
| License | State | Type | Specialty |
|---|---|---|---|
| MA59397 | FL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316131200000",
"number": "1942582747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3304 19TH ST W",
"city": "LEHIGH ACRES",
"state": "FL",
"postal_code": "339715531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24850 OLD HWY 41 RD",
"address_2": "SUITE 17",
"city": "BONITA SPRINGS",
"state": "FL",
"postal_code": "34135",
"telephone_number": "239-947-3900",
"fax_number": "239-236-0647"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAMBRELL",
"first_name": "WILLIAM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-09-16",
"last_updated": "2011-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA59397",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bonita Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.