GARY MITCHELL VAN DERVEER LMT
NPI 1528639960
Massage Therapist in Phoenix, AZ

Q: What is Gary Van Derveer's NPI number?

The NPI number for Gary Van Derveer is 1528639960. It was assigned to this individual provider in the NPPES registry on July 7, 2021.

Q: What is Gary Van Derveer's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

Q: When was this NPI record last updated?

The NPPES record for Gary Van Derveer was last updated on July 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 07, 2021

3935 E GREENWAY RD APT 205, PHOENIX, AZ 85032(602) 497-7422 Get Directions Write a Review

NPPES record last updated: July 7, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Gary Mitchell Van Derveer Lmt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GARY MITCHELL VAN DERVEER LMT (NPI 1528639960) is an individual massage therapist in Phoenix, Arizona, licensed in Arizona (MT-14602) and active in the NPI registry since July 2021.

NPPES Registry Identity

NPI1528639960

Entity TypeIndividualMale

Primary Taxonomy225700000X

Provider Legal NameGARY MITCHELL VAN DERVEERCredential: LMT

Location Address3935 E GREENWAY RD APT 205Phoenix, AZ 85032-4671

Mailing AddressGary M. Van Derveer, 3935 E. Greenway Rd Apt. 205Phoenix, AZ 85032-4671 · (602) 497-7422

Phone(602) 497-7422

Sole ProprietorYes

Enumeration DateJuly 7, 2021

NPPES CertifiedJune 11, 2021

✔ NPI 1528639960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code225700000X

License✔ Licensed in AZ · MT-14602

Definition

An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

3935 E GREENWAY RD APT 205, Phoenix, AZ 85032

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Other Identifiers 1

OtherMT-14602AZ · Az State Massage Board

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gary Van Derveer's NPI number?

The NPI number for Gary Van Derveer is 1528639960. It was assigned to this individual provider in the NPPES registry on July 7, 2021.

Where is Gary Van Derveer located?

Gary Van Derveer practices at 3935 E Greenway Rd Apt 205, Phoenix, AZ 85032. The listed phone number is (602) 497-7422.

What is Gary Van Derveer's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Gary Van Derveer was last updated on July 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.