Active NPI
Perla Cruz
- Massage Therapist
- Portland, OR
National Provider Identifier
1003480096
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 26006
- Practice address
- 9455 SW 80TH Ave
Portland, OR 97223-8966 - Phone
- (503) 662-7474
- NPI assigned
- May 14, 2021
- Sex
- Female
- Sole proprietor
- No
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 | 26006 | OR | Primary |
Addresses
Primary practice location
9455 SW 80TH Ave
Portland, OR 97223-8966
Mailing address
9455 SW 80TH Ave
Portland, OR 97223-8966
Phone (503) 662-7474
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | momentumchiropdx.janeapp.com |
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 |
|---|---|---|---|
| 26006 | OR | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620950400000",
"number": "1003480096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9455 SW 80TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972238966",
"telephone_number": "503-662-7474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9455 SW 80TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972238966",
"telephone_number": "503-662-7474"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUZ",
"first_name": "PERLA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-14",
"last_updated": "2021-05-14",
"certification_date": "2021-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OR",
"license": "26006",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "momentumchiropdx.janeapp.com",
"affiliation": "N",
"address_1": "9455 SW 80th Ave",
"city": "Portland",
"state": "OR",
"country_code": "US",
"postal_code": "972238966",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 May 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.