Jan Gelderloos, LMT, NMT

Primary specialty

SpecialistTaxonomy code 174400000X

License

MA 00006764 Issued in WA

Practice address

4101 W Marginal Way SW
A4
Seattle, WA 98106-1282

Phone

(206) 935-7526

NPI assigned

Dec 23, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1261526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261526400000",
    "number": "1972832855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 48142",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981480142",
            "telephone_number": "206-935-7526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 W MARGINAL WAY SW",
            "address_2": "A4",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981061282",
            "telephone_number": "206-935-7526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GELDERLOOS",
        "first_name": "JAN",
        "name_prefix": "Mr.",
        "credential": "LMT, NMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-12-23",
        "last_updated": "2009-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA 00006764",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR AND INDUSTRIES, WA",
            "identifier": "0206602",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Benjamin J Geiman, M.D.
• Cindy Geis
• Robert Edward Geise, M.D
• Irene Markman Geisner, PH.D.
• Lisa J Geiver
• Benjamin Keith Geldersma, RN
• Beredu Abraham Geleto, NP-C
• Gabrielle Gelfand
• Mikhail Semenovich Gelfenbeyn, MD
• Joan Austin Gelinas, PT

• Specialist in Seattle, WA
• Providers in Seattle, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2009; 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.