Active NPI
Amanda Michelle Cross, LMT
- Massage Therapist
- West Linn, OR
National Provider Identifier
1013639806
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 26677
- Practice address
- 2008 Willamette Falls Dr Ste 200a
West Linn, OR 97068-4673 - Phone
- (503) 650-6494
- Fax
- (503) 212-0446
- NPI assigned
- Sep 19, 2022
- Sex
- Female
- 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 | 26677 | OR | Primary |
Addresses
Primary practice location
2008 Willamette Falls Dr Ste 200a
West Linn, OR 97068-4673
Mailing address
2008 Willamette Falls Dr Ste 200a
West Linn, OR 97068-4673
Phone (503) 650-6494
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | amanda@wlholisticmassage.com | Direct |
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 |
|---|---|---|---|
| 26677 | OR | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663545600000",
"number": "1013639806",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2008 WILLAMETTE FALLS DR STE 200A",
"city": "WEST LINN",
"state": "OR",
"postal_code": "970684673",
"telephone_number": "503-650-6494",
"fax_number": "503-212-0446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2008 WILLAMETTE FALLS DR STE 200A",
"city": "WEST LINN",
"state": "OR",
"postal_code": "970684673",
"telephone_number": "503-650-6494",
"fax_number": "503-212-0446"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROSS",
"first_name": "AMANDA",
"middle_name": "MICHELLE",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-09-19",
"last_updated": "2022-09-19",
"certification_date": "2022-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OR",
"license": "26677",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "amanda@wlholisticmassage.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2008 Willamette Falls Dr Ste 200A",
"city": "West Linn",
"state": "OR",
"country_code": "US",
"postal_code": "970684673",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in West Linn, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.