Heidi Stachelrodt, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

10997 Issued in OR

Practice address

205 SE Spokane St Ste 300
Portland, OR 97202-6487

Phone

(503) 866-9271

Fax

(971) 386-1281

NPI assigned

May 18, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hawthorne Chiropractic PC

  • Chiropractor
  • Portland, OR
  • NPI 1144253139
  NPD (past)
• Pate Acupuncture & Chinese Medicine

  • Clinic/Center
  • Portland, OR
  • NPI 1154595932
  NPD (past)

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681171200000",
    "number": "1003024654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 SE SPOKANE ST STE 300",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972026487",
            "telephone_number": "503-866-9271",
            "fax_number": "971-386-1281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 SE SPOKANE ST STE 300",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972026487",
            "telephone_number": "503-866-9271",
            "fax_number": "971-386-1281"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1314 SE Salmon St Apt B",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972143650",
            "country_code": "US",
            "telephone_number": "503-866-9271",
            "fax_number": "971-386-1281",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STACHELRODT",
        "first_name": "HEIDI",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-18",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "10997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "ClinicSense",
            "affiliation": "N",
            "endpointDescription": "SOAP note software",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "205 SE Spokane St Ste 300",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972026487",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lynn Marie Staben, OTA
• Stacy Lynn Stabil, MA,LPC
• Jonah Stabinski, MSW
• Stacey Mairs, LMT, LLC
• Xavier Rajagopal Stacey, M.D.
• Betty Stachurski
• Stacie Wolfe ND
• Megan N Stack, FNP
• Nicola Stackhouse, LMT
• Stacy Marie NP, LLC Dba Remedy Functional Medicine

• Massage Therapist in Portland, OR
• Providers in Portland, OR by specialty
• Massage Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2023; 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.