Active NPI
David Jonathan Emerson, LMT
- Mechanotherapist
- Gresham, OR
National Provider Identifier
1053526137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mechanotherapist
- License
- 7087
- Practice address
- 329 NE Hood Ave
Gresham, OR 97030-7449 - Phone
- (503) 618-9760
- NPI assigned
- May 11, 2007
- Last updated
- Feb 4, 2009
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Mechanotherapist | 172M00000X | 7087 | OR | Primary |
Addresses
Primary practice location
329 NE Hood Ave
Gresham, OR 97030-7449
Mailing address
PO Box 182
Troutdale, OR 97060-0182
Phone (503) 618-9760
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 |
|---|---|---|---|
| 7087 | OR | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bodywork Massage Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Medical Specialty Clinic/Center
- Gresham, OR
- NPI 1891927661
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1233705600000",
"number": "1053526137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 182",
"city": "TROUTDALE",
"state": "OR",
"postal_code": "970600182",
"telephone_number": "503-618-9760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "329 NE HOOD AVE",
"city": "GRESHAM",
"state": "OR",
"postal_code": "970307449",
"telephone_number": "503-618-9760"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EMERSON",
"first_name": "DAVID",
"middle_name": "JONATHAN",
"name_prefix": "Mr.",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-11",
"last_updated": "2009-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "172M00000X",
"taxonomy_group": "",
"desc": "Mechanotherapist",
"state": "OR",
"license": "7087",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gresham, OR
- Elenih Group Home LLC
- Elite Health Care Dba Elite Chiropractic and Wellness Center (Elite Chiropractic and Wellness Center)
- Sarah Elkinton, CCC-SLP
- Emergency and Acute Care Medical Company - Northwest, Inc.
- Emeritus Corporation (Brookdale Chestnut Lane Gresham)
- Gregory David Emmerich, M.D.
- Emo Residential Care Home,LLC
- Endodontic Specialty Group, P.C.
- Rosie Endow, OTR/L
- Mary Beth Enns, MS OTRL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.