Individual provider Active NPI

Makenzie Lauren Hay, LMT

  • Massage Therapist
  • Central Point, OR
National Provider Identifier
1104294420
Registry record updated Dec 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
21580 Issued in OR
Practice address
2556 Corey Rd
Central Point, OR 97502-9406
Phone
(541) 841-1199
Fax
(541) 879-3025
NPI assigned
Sep 2, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 26, 2023

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 21580 OR Primary

Addresses

Primary practice location

2556 Corey Rd
Central Point, OR 97502-9406

Mailing address

2556 Corey Rd
Central Point, OR 97502-9406
Phone (541) 841-1199

Other names 1

  • Makenzie Rey Shelman 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
21580ORMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rogue Massage Clinic, LLC Massage Therapist Current 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": "1441152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703548800000",
    "number": "1104294420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2556 COREY RD",
            "city": "CENTRAL POINT",
            "state": "OR",
            "postal_code": "975029406",
            "telephone_number": "541-841-1199",
            "fax_number": "541-879-3025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2556 COREY RD",
            "city": "CENTRAL POINT",
            "state": "OR",
            "postal_code": "975029406",
            "telephone_number": "541-841-1199",
            "fax_number": "541-879-3025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAY",
        "first_name": "MAKENZIE",
        "middle_name": "LAUREN",
        "name_prefix": "Mrs.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-02",
        "last_updated": "2023-12-26",
        "certification_date": "2023-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "21580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAKENZIE",
            "last_name": "SHELMAN",
            "middle_name": "REY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Central Point, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2023; 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.