Active NPI
Daniel Brown, LMT#21298
- Massage Therapist
- Portland, OR
National Provider Identifier
1003274739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 21298
- Practice address
- 13305 NW Cornell Rd Ste E
Portland, OR 97229-5987 - Phone
- (503) 746-5085
- NPI assigned
- Feb 9, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 21298 | OR | Primary |
Addresses
Primary practice location
13305 NW Cornell Rd Ste E
Portland, OR 97229-5987
Mailing address
13305 NW Cornell Rd Ste E
Portland, OR 97229-5987
Phone (503) 746-5085
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
| License | State | Type | Specialty |
|---|---|---|---|
| 21298 | OR | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr Stephen Besser DC Inc | Massage Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481673600000",
"number": "1003274739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13305 NW CORNELL RD STE E",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972295987",
"telephone_number": "503-746-5085",
"fax_number": "503-972-1185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13305 NW CORNELL RD STE E",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972295987",
"telephone_number": "503-746-5085"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "DANIEL",
"credential": "LMT#21298",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-02-09",
"last_updated": "2016-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OR",
"license": "21298",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.