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Deactivated NPI 1477074870 Deactivated / Inactive NPI Male Practitioner

Peter Joseph Gerold , LMT, MLD, C

Massage Therapist • Langhorne, PA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Peter Gerold has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 06, 2017
NPI Deactivation Date June 17, 2021
Total Practice Duration ~4 Years of Practice (2017 – 2021)

Professional Overview & Biography Verified Profile Summary

Peter Gerold, LMT, MLD, C was a registered Massage Therapist practicing in Langhorne, PA. Throughout an active medical career spanning 4 years, Peter Gerold provided care at the practice location at 930 TOWN CENTER DR STE G10 until profile deactivation on 2021-06-17.

Practice Location & Contact Primary Location

Practice Address

930 Town Center Dr Ste G10

Langhorne, PA 190473504

Telephone 2157503332
Associated Practice Facility / Clinic
🏢 Lisa M. Ducker Do Facility NPI 1255424669

Specialty Benchmarks & Practice Insights

Comparative analytics for Massage Therapist in Langhorne, PA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
7 Specialists

Practicing in Langhorne, PA (1506 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Massage Therapist Primary Specialty

NUCC Taxonomy Code: 225700000X

State License PA MSG006024

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1952351421

Doctor of Chiropractic

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated June 17, 2021

Record deactivated on June 17, 2021

NPI Profile Active July 06, 2017

NPI status registered as active in NPPES database

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Updated Practice Location July 06, 2017

Registered at 930 TOWN CENTER DR STE G10, LANGHORNE, PA 190473504 (Tel: 2157503332)

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Updated Business Mailing Address July 06, 2017

Registered at 1011 SANIBEL ST, PHILADELPHIA, PA 191163425 (Tel: 2156980318)

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Provider Name / Credentials Updated July 06, 2017

Recorded as PETER GEROLD, LMT, MLD/C

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 06, 2017

Massage Therapist (License #MSG006024 in PA)

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Initial NPI Registration & Enumeration July 06, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1477074870
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 06, 2017
Last Update: July 06, 2017
Deactivation Date: June 17, 2021

Mailing Address

1011 Sanibel St

Philadelphia, PA 191163425

Phone: 2156980318

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.