Active NPI
Samantha Andrews
- Massage Therapist
- Portland, OR
National Provider Identifier
1104475805
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 27790
- Practice address
- 1940 NW 24TH Ave
Portland, OR 97210-2786 - Phone
- (503) 303-8118
- Fax
- (833) 450-5748
- NPI assigned
- Sep 5, 2019
- Sex
- Female
- Sole proprietor
- No
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 | 27790 | OR | Primary |
Addresses
Primary practice location
1940 NW 24TH Ave
Portland, OR 97210-2786
Mailing address
1616 NW Everett St Apt 211
Portland, OR 97209-2185
Phone (707) 815-6153
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
- Credentials
- Master of Theology
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mbody Health, LLC | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721865600000",
"number": "1104475805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1616 NW EVERETT ST APT 211",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972092185",
"telephone_number": "707-815-6153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1940 NW 24TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972102786",
"telephone_number": "503-303-8118",
"fax_number": "833-450-5748"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDREWS",
"first_name": "SAMANTHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-05",
"last_updated": "2024-07-25",
"certification_date": "2024-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OR",
"license": "27790",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Jul 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.