Individual provider Active NPI

Myli Nagode, LMT

  • Massage Therapist
  • Tigard, OR
National Provider Identifier
1063244523
Registry record updated Aug 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
28238 Issued in OR
Practice address
12700 SW North Dakota St Ste 180
Tigard, OR 97223-0802
Phone
(503) 716-8281
NPI assigned
Aug 14, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 28238 OR Primary

Addresses

Primary practice location

12700 SW North Dakota St Ste 180
Tigard, OR 97223-0802

Mailing address

12700 SW North Dakota St Ste 180
Tigard, OR 97223-0802
Phone (503) 716-8281

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
28238ORMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Gregory Oltmann DC LLC CurrentSince Aug 18, 2024 Accepting new patients
Straight Up Chiropractic CurrentSince Aug 18, 2024 Accepting new patients

Locations

12700 SW North Dakota St
Ste 180
Tigard, OR 97223
Phone (503) 716-8281

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1723593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1063244523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12700 SW NORTH DAKOTA ST STE 180",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972230802",
            "telephone_number": "503-716-8281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12700 SW NORTH DAKOTA ST STE 180",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972230802",
            "telephone_number": "503-716-8281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAGODE",
        "first_name": "MYLI",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-14",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "28238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tigard, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; 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.