Individual provider Active NPI

Leon Charles Gosset, LMT

  • Massage Therapist
  • San Antonio, TX
National Provider Identifier
1992947477
Registry record updated Mar 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT006645 Issued in TX
Practice address
5704 Evers Rd
San Antonio, TX 78238-1717
Phone
(210) 684-6563
Fax
(210) 509-4445
NPI assigned
Mar 31, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2009

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 MT006645 TX Primary

Addresses

Primary practice location

5704 Evers Rd
San Antonio, TX 78238-1717

Mailing address

5704 Evers Rd
San Antonio, TX 78238-1717
Phone (210) 684-6563

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
MT006645TXMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1238457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238457600000",
    "number": "1992947477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5704 EVERS RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782381717",
            "telephone_number": "210-684-6563",
            "fax_number": "210-509-4445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5704 EVERS RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782381717",
            "telephone_number": "210-684-6563",
            "fax_number": "210-509-4445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOSSET",
        "first_name": "LEON",
        "middle_name": "CHARLES",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-03-31",
        "last_updated": "2009-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": "MT006645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.