Individual provider Active NPI

Miwa Andrina Nishi, LMT

  • Massage Therapist
  • Portland, OR
National Provider Identifier
1073267464
Registry record updated Feb 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
5208 Issued in OR
Practice address
1117 SE 122ND Ave Unit 1
Portland, OR 97233-1160
Phone
(503) 946-8633
NPI assigned
Feb 5, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2022

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 5208 OR Primary

Addresses

Primary practice location

1117 SE 122ND Ave Unit 1
Portland, OR 97233-1160

Mailing address

9850 SE Harold St
Portland, OR 97266-3735
Phone (503) 260-0288

Other practice location 1

620 SE Oak St Ste F
Hillsboro, OR 97123-4160
Phone (503) 336-0912

Other names 1

  • Ms. Miwa Andrina McRee Former name

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
5208ORMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Eve Chiropractic Clinic LLC PastSince Feb 13, 2022 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.

NPI Registry JSON

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

{
    "created_epoch": "1644019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644019200000",
    "number": "1073267464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9850 SE HAROLD ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972663735",
            "telephone_number": "503-260-0288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 SE 122ND AVE UNIT 1",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972331160",
            "telephone_number": "503-946-8633"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "620 SE Oak St Ste F",
            "address_purpose": "LOCATION",
            "city": "Hillsboro",
            "state": "OR",
            "postal_code": "971234160",
            "country_code": "US",
            "telephone_number": "503-336-0912",
            "fax_number": "503-894-5020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NISHI",
        "first_name": "MIWA",
        "middle_name": "ANDRINA",
        "name_prefix": "Ms.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-05",
        "last_updated": "2022-02-05",
        "certification_date": "2022-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "5208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIWA",
            "last_name": "MCREE",
            "middle_name": "ANDRINA",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2022; 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.