NPIMap

Organization Active NPI

Craniosacral Therapy

  • Massage Therapist
  • Medford, OR
National Provider Identifier
1053783241
Registry record updated Nov 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
441893-00 Issued in OR
Legal business name
CRANIOSACRAL THERAPY
Practice address
145 S Holly St
Suite B
Medford, OR 97501-3101
Phone
(541) 291-1801
NPI assigned
Oct 27, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2015

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

Authorized official

Name
Harmony Eden Oltman, LMT
Title
Craniosacral Therapist
Phone
(541) 291-1801

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X 441893-00 OR Primary

Addresses

Primary practice location

145 S Holly St
Suite B
Medford, OR 97501-3101

Mailing address

145 S Holly St
Suite B
Medford, OR 97501-3101
Phone (541) 291-1801

National Provider Directory

National Provider Directory

Locations

145 S Holly St
Ste B
Medford, OR 97501
Phone (541) 291-1801

NPI Registry JSON

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

{
    "created_epoch": "1445904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447027200000",
    "number": "1053783241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 S HOLLY ST",
            "address_2": "SUITE B",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975013101",
            "telephone_number": "541-291-1801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 S HOLLY ST",
            "address_2": "SUITE B",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975013101",
            "telephone_number": "541-291-1801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRANIOSACRAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-27",
        "last_updated": "2015-11-09",
        "status": "A",
        "authorized_official_last_name": "OLTMAN",
        "authorized_official_first_name": "HARMONY",
        "authorized_official_middle_name": "EDEN",
        "authorized_official_title_or_position": "CRANIOSACRAL THERAPIST",
        "authorized_official_telephone_number": "541-291-1801",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "441893-00",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2015; 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.