Active NPI
Tommy Lee Harris, LMT
- Massage Therapist
- Gresham, OR
National Provider Identifier
1073753372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 10077
- Practice address
- 735 SE Mount Hood Hwy
Suite C
Gresham, OR 97080-9280 - Phone
- (503) 804-4621
- Fax
- (503) 665-3188
- NPI assigned
- Feb 26, 2009
- Sex
- Male
- 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 | 10077 | OR | Primary |
Addresses
Primary practice location
735 SE Mount Hood Hwy
Suite C
Gresham, OR 97080-9280
Mailing address
38954 Proctor Blvd # 397
Sandy, OR 97055-8039
Phone (503) 804-4621
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 |
|---|---|---|---|
| 10077 | OR | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332201600000",
"number": "1073753372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38954 PROCTOR BLVD # 397",
"city": "SANDY",
"state": "OR",
"postal_code": "970558039",
"telephone_number": "503-804-4621",
"fax_number": "503-665-3188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "735 SE MOUNT HOOD HWY",
"address_2": "SUITE C",
"city": "GRESHAM",
"state": "OR",
"postal_code": "970809280",
"telephone_number": "503-804-4621",
"fax_number": "503-665-3188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "TOMMY",
"middle_name": "LEE",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-02-26",
"last_updated": "2012-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OR",
"license": "10077",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gresham, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.