Active NPI
Miwa Andrina Nishi, LMT
- Massage Therapist
- Portland, OR
National Provider Identifier
1073267464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 5208
- 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
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 | 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
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 |
|---|---|---|---|
| 5208 | OR | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eve Chiropractic Clinic LLC | 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.
-
- Chiropractor
- Portland, OR
- NPI 1093124729
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.