Active NPI
Brigid Diana Timmons
- Massage Therapist
- Gresham, OR
National Provider Identifier
1093251555
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT-0004103
- Practice address
- 21707 SE Stark St
Gresham, OR 97030-2029 - Phone
- (503) 489-9962
- NPI assigned
- Jan 9, 2017
- Last updated
- Jun 11, 2026
- 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 | MT-0004103 | DE | Primary |
Addresses
Primary practice location
21707 SE Stark St
Gresham, OR 97030-2029
Mailing address
1155 Yearsley Dr
Dover, DE 19904-4358
Phone (302) 612-7725
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 |
|---|---|---|---|
| MT-0004103 | DE | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Delmarva Chiropractic and Wellness Center 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Harrington, DE
- NPI 1689045734
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1483920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781136000000",
"number": "1093251555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1155 YEARSLEY DR",
"city": "DOVER",
"state": "DE",
"postal_code": "199044358",
"telephone_number": "302-612-7725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21707 SE STARK ST",
"city": "GRESHAM",
"state": "OR",
"postal_code": "970302029",
"telephone_number": "503-489-9962"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIMMONS",
"first_name": "BRIGID",
"middle_name": "DIANA",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-01-09",
"last_updated": "2026-06-11",
"certification_date": "2026-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "DE",
"license": "MT-0004103",
"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 Jun 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.