Individual provider Active NPI

Emily Michelle Sutten, L.M.T

  • Mechanotherapist
  • Eugene, OR
National Provider Identifier
1114235108
Registry record updated Sep 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
MechanotherapistTaxonomy code 172M00000X
License
13829 Issued in OR
Practice address
2436 E Irwin Way
Eugene, OR 97402-1119
Phone
(541) 968-0015
NPI assigned
Sep 23, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mechanotherapist 172M00000X 13829 OR Primary

Addresses

Primary practice location

2436 E Irwin Way
Eugene, OR 97402-1119

Mailing address

PO Box 1083
Veneta, OR 97487-1083
Phone (541) 968-0015

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
13829ORMDMechanotherapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1285200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285200000000",
    "number": "1114235108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1083",
            "city": "VENETA",
            "state": "OR",
            "postal_code": "974871083",
            "telephone_number": "541-968-0015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2436 E IRWIN WAY",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974021119",
            "telephone_number": "541-968-0015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTTEN",
        "first_name": "EMILY",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "L.M.T",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-23",
        "last_updated": "2010-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "OR",
            "license": "13829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2010; 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.