NICOLE M GLEESON (NPI# 1487986915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487986915 |
| Entity Type | Individual |
| Full Name | NICOLE M GLEESON |
| Credential | LMP |
| Practice Address |
330 Pioneer Ave Montesano WA 98563 |
| Mailing Address |
103 York Drive Aberdeen WA 98520 |
| Practice Telephone | 3605801667 |
| Mailing Telephone | 3605801667 |
| Enumeration Date | 2010-02-09 |
| Last Update Date | 2020-04-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 172M00000X | Mechanotherapist | MA60112062 | WA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | WA STATE MASSAGE LICENSE NUMBER | MA60112062 | 01 |
| Street Address |
330 PIONEER AVE |
| City | MONTESANO |
| State | WA |
| Zip Code | 98563 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043869993 | Schuyler Rose | Physical Therapist | 800 N Medcalf Street, Montesano, WA 98563 | 2019-09-04 |
| 1851944342 | Kendra Danielle Hyde | Occupational Therapy Assistant | 800 Medcalf St, Montesano, WA 98563 | 2019-07-23 |
| 1457913584 | Teresa Vansant | Licensed Practical Nurse | 800 N. Medcalf Street, Montesano, WA 98563 | 2019-06-28 |
| 1124599907 | Amanda D Heppner | Massage Therapist | 221 W. Wynooche Ave, Unit B, Montesano, WA 98563 | 2018-12-05 |
| 1841765641 | Mindy Ann Lewis | Nurse Practitioner | 319 East Pioneer Avenue, Montesano, WA 98563 | 2018-10-08 |
| 1346737145 | Sara Stange | Occupational Therapy Assistant | 800 Medcalf St., Montesano, WA 98563 | 2018-04-17 |
| 1811403751 | Gunter & Messick Dds Pllc | Dentist | 208 E. Broadway, Montesano, WA 98563 | 2017-12-14 |
| 1124493739 | Janet Hanson | Occupational Therapy Assistant | 800 Medcalf Street, Montesano, WA 98563 | 2015-12-08 |
| 1427420678 | Chona Lorico | Dietitian, Registered | 975 N Stephenson Dr, Montesano, WA 98563 | 2015-10-28 |
| 1558792697 | Kathleen Marie Schaeffer | Occupational Therapist | 1216 Fair View Lane East, Unit 1, Montesano, WA 98563 | 2013-11-27 |
| Find all providers in zip 98563 | ||||
| Taxonomy Code | 172M00000X |
| Grouping | Other Service Providers |
| Classification | Mechanotherapist |
| A practitioner of mechanotherapy examines patients by verbal inquiry, examination of the musculoskeletal system by hand, and visual inspection and observation. In the treatment of patients, mechanotherapists employ the techniques of advised or supervised exercise; electrical neuromuscular stimulation; massage or manipulation; or air, water, heat, cold, sound, or infrared ray therapy. |
| Notes: Source: Summarized from Ohio Revised Code 4731.15 [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871024059 | Island Wellness Center | Mechanotherapist | 470 Spring St Ste 103, Friday Harbor, WA 98250-7230 | 2017-03-21 |
| 1710425418 | Diana Diamond | Mechanotherapist | 13307 28th Ave Se, Mill Creek, WA 98012-4641 | 2017-02-02 |
| 1568909711 | Marisa Seana Wentz | Mechanotherapist | 307 S 12th Ave Ste 9, Yakima, WA 98902-3138 | 2017-01-26 |
| 1467904896 | Carmel Mundell | Mechanotherapist | 8644 S Thompson Ave, Tacoma, WA 98444-4468 | 2016-11-02 |
| 1235680505 | Nataliya Soroka | Mechanotherapist | 26818 115th Pl Se, Kent, WA 98030-8478 | 2016-10-20 |
| 1295281038 | Jenny Monfore | Mechanotherapist | 6633 Sw Admiral Way, Seattle, WA 98116 | 2016-08-31 |
| 1942754668 | Kassandra Bizauskas | Mechanotherapist | 100 Station Drive Suite 100, Dupont, WA 98327-8727 | 2016-08-10 |
| 1033562368 | Michael Coffey | Mechanotherapist | 9508 Ne 70th St, Vancouver, WA 98662-4536 | 2016-07-21 |
| 1558713248 | Angela Wapner | Mechanotherapist | 139 23rd Ave S, Seattle, WA 98144-2301 | 2016-07-06 |
| 1992156004 | Barbara Federspiel | Mechanotherapist | 1489 Hillspring Rd, Bellingham, WA 98226-8825 | 2016-06-29 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.