Active NPI
Ashley Boltjes, LMT
- Massage Therapist
- Salem, OR
National Provider Identifier
1053632414
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 14466
- Practice address
- 925 Commercial St SE
Suite 260
Salem, OR 97302-4172 - Phone
- (503) 391-9222
- NPI assigned
- Jun 18, 2010
- Last updated
- Jul 24, 2012
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 14466 | OR | Primary |
Addresses
Primary practice location
925 Commercial St SE
Suite 260
Salem, OR 97302-4172
Mailing address
570 Greencrest St NE
Salem, OR 97301-4971
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 |
|---|---|---|---|
| 14466 | OR | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343088000000",
"number": "1053632414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "570 GREENCREST ST NE",
"city": "SALEM",
"state": "OR",
"postal_code": "973014971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "925 COMMERCIAL ST SE",
"address_2": "SUITE 260",
"city": "SALEM",
"state": "OR",
"postal_code": "973024172",
"telephone_number": "503-391-9222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOLTJES",
"first_name": "ASHLEY",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-18",
"last_updated": "2012-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OR",
"license": "14466",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salem, OR
- Lacey Bolduc, MSW
- Boline Chiropractic Clinic, LLC
- Keith W Boline, D.C.
- Neptali Pastor Bolivar
- Lucy Bollinger
- James Bonar, DMD
- Paul J Bonar, DMD
- Thomas Larance Bonar, DMD
- Victoria A Bonar, DMD
- Bonaventure Place Retirement & Assisted Living Community LLC (Bonaventure Retirement & Assisted Living Community)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.