Hannah Elisabeth Wiley, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

023534 Issued in OR

Practice address

901 Brutscher St Ste 208
Newberg, OR 97132-6097

Phone

(503) 538-0100

NPI assigned

Sep 12, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Oregon Massage Clinic

  • Massage Therapist
  • Newberg, OR
  • NPI 1124616057
  NPD (past)

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

{
    "created_epoch": "1505174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1043739980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1464 GEORGE TWEED BLVD",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975276394",
            "telephone_number": "541-441-3264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 BRUTSCHER ST STE 208",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971326097",
            "telephone_number": "503-538-0100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "849 NE 7th St",
            "address_purpose": "LOCATION",
            "city": "Grants Pass",
            "state": "OR",
            "postal_code": "975261634",
            "country_code": "US",
            "telephone_number": "541-295-7148",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILEY",
        "first_name": "HANNAH",
        "middle_name": "ELISABETH",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-12",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "023534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth A Whittaker, MD
• Mary Teresa Wikander, LCSW
• Timothy P Wilcox, LMT
• Kelsey Wilde, DPT
• Robert Carl Wilde, DMD
• Willamette Valley Mental Health LLC
• Willamette Valley Mental Health LLC
• Willamette Valley Rheumatolgy PC
• William M Bailey MD
• Alex Williams

• Massage Therapist in Newberg, OR
• Providers in Newberg, OR by specialty
• Massage Therapist in Oregon

• 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.