Individual provider Active NPI

Aimee Kristine Perkins, LMT

  • Contractor
  • Portland, OR
National Provider Identifier
1023106515
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
License
7954 Issued in OR
Practice address
3942 SE Hawthorne Blvd
Portland, OR 97214-5242
Phone
(503) 235-5484
Fax
(503) 235-3956
NPI assigned
Oct 10, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X 7954 OR Primary

Addresses

Primary practice location

3942 SE Hawthorne Blvd
Portland, OR 97214-5242

Mailing address

1431 SW Park Ave Apt 405
Portland, OR 97201-3433
Phone (503) 933-7590

Other practice location 1

3305 SE Division St
Portland, OR 97202-1456
Phone (503) 235-0944

Other practice location 2

3305 SE Division St
Portland, OR 97202-1456
Phone (503) 235-0944

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
7954ORMDContractor

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1023106515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1431 SW PARK AVE APT 405",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972013433",
            "telephone_number": "503-933-7590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3942 SE HAWTHORNE BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972145242",
            "telephone_number": "503-235-5484",
            "fax_number": "503-235-3956"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3305 SE Division St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972021456",
            "country_code": "US",
            "telephone_number": "503-235-0944",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3305 SE Division St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972021456",
            "country_code": "US",
            "telephone_number": "503-235-0944",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERKINS",
        "first_name": "AIMEE",
        "middle_name": "KRISTINE",
        "name_prefix": "Ms.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "OR",
            "license": "7954",
            "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 Mar 17, 2018; 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.