Active NPI
Victoria Griggs, LMT
- Massage Therapist
- Clackamas, OR
National Provider Identifier
1104125632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 16515
- Practice address
- 9895 SE Sunnyside Rd
Clackamas, OR 97015-5740 - Phone
- (503) 653-0400
- Fax
- (503) 653-5146
- NPI assigned
- Mar 23, 2011
- Last updated
- Mar 23, 2011
- 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 | 16515 | OR | Primary |
Addresses
Primary practice location
9895 SE Sunnyside Rd
Clackamas, OR 97015-5740
Mailing address
9895 SE Sunnyside Rd
Clackamas, OR 97015-5740
Phone (503) 653-0400
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 |
|---|---|---|---|
| 16515 | OR | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nelson's Interior | Massage Therapist | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300838400000",
"number": "1104125632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9895 SE SUNNYSIDE RD",
"city": "CLACKAMAS",
"state": "OR",
"postal_code": "970155740",
"telephone_number": "503-653-0400",
"fax_number": "503-653-5146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9895 SE SUNNYSIDE RD",
"city": "CLACKAMAS",
"state": "OR",
"postal_code": "970155740",
"telephone_number": "503-653-0400",
"fax_number": "503-653-5146"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIGGS",
"first_name": "VICTORIA",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-03-23",
"last_updated": "2011-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OR",
"license": "16515",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clackamas, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.