Individual provider Active NPI

Barbara Werner, L.M.T.

  • Massage Therapist
  • Beaverton, OR
National Provider Identifier
1013347657
Registry record updated Nov 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
5218 Issued in OR
Practice address
2155 NW 173Rd Ave
Ste #103
Beaverton, OR 97006-3563
Phone
(503) 352-0735
Fax
(503) 352-0734
NPI assigned
Nov 18, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 5218 OR Primary

Addresses

Primary practice location

2155 NW 173Rd Ave
Ste #103
Beaverton, OR 97006-3563

Mailing address

2155 NW 173Rd Ave
Ste #103
Beaverton, OR 97006-3563
Phone (503) 352-0735

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

LicenseStateTypeSpecialty
5218ORMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1384732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384732800000",
    "number": "1013347657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2155 NW 173RD AVE",
            "address_2": "STE #103",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970063563",
            "telephone_number": "503-352-0735",
            "fax_number": "503-352-0734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2155 NW 173RD AVE",
            "address_2": "STE #103",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970063563",
            "telephone_number": "503-352-0735",
            "fax_number": "503-352-0734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WERNER",
        "first_name": "BARBARA",
        "credential": "L.M.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-18",
        "last_updated": "2013-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "5218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2013; 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.