Individual provider Active NPI

Emma Gavalya, LMT

  • Massage Therapist
  • Eagle River, AK
National Provider Identifier
1972157329
Registry record updated Jul 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
133090 Issued in AK
Practice address
10421 VFW Rd Ste 101
Eagle River, AK 99577-8075
Phone
(907) 694-1285
NPI assigned
Jul 24, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2019

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 133090 AK Primary

Addresses

Primary practice location

10421 VFW Rd Ste 101
Eagle River, AK 99577-8075

Mailing address

19543 Pribilof Loop
Eagle River, AK 99577-8726
Phone (907) 575-9530

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
133090AKMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Alaska Chiropractic and Therapy PC CurrentSince Jun 1, 2022 Accepting new patients

Locations

10421 Vfw Rd
Ste 101
Eagle River, AK 99577
Phone (907) 694-1285

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1563926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563926400000",
    "number": "1972157329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19543 PRIBILOF LOOP",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995778726",
            "telephone_number": "907-575-9530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10421 VFW RD STE 101",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995778075",
            "telephone_number": "907-694-1285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAVALYA",
        "first_name": "EMMA",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-24",
        "last_updated": "2019-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "AK",
            "license": "133090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagle River, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2019; 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.