Active NPI
Tracy Lynn Olmstead, LMT
- Massage Therapist
- Hood River, OR
National Provider Identifier
1063660975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 15067
- Practice address
- 1330 Brookside Dr
Hood River, OR 97031-8549 - Phone
- (541) 386-3230
- NPI assigned
- Sep 4, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 | 15067 | OR | Primary |
Addresses
Primary practice location
1330 Brookside Dr
Hood River, OR 97031-8549
Mailing address
3555 Broken Tee Drive
Hood River, OR 97031
Phone (541) 490-5148
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
- Credentials
- Master of Theology
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15067 | OR | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| One Community Health | 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 and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Hood River, OR
- NPI 1851385918
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220486400000",
"number": "1063660975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3555 BROKEN TEE DRIVE",
"city": "HOOD RIVER",
"state": "OR",
"postal_code": "97031",
"telephone_number": "541-490-5148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1330 BROOKSIDE DR",
"city": "HOOD RIVER",
"state": "OR",
"postal_code": "970318549",
"telephone_number": "541-386-3230"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLMSTEAD",
"first_name": "TRACY",
"middle_name": "LYNN",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-09-04",
"last_updated": "2008-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OR",
"license": "15067",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hood River, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.