Amity Mead

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MAT 12879 Issued in OR

Practice address

2476 NW Northrup St
Suite 2a
Portland, OR 97210-3133

Phone

(503) 704-0579

NPI assigned

Mar 3, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Sage Ventures Inc

  • Clinic/Center
  • Portland, OR
  • NPI 1891382313
  NPD Authorized official

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

{
    "created_epoch": "1456963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456963200000",
    "number": "1114387164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 SE 43RD AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972063101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2476 NW NORTHRUP ST",
            "address_2": "SUITE 2A",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972103133",
            "telephone_number": "503-704-0579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEAD",
        "first_name": "AMITY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-03",
        "last_updated": "2016-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "MAT 12879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elin Bixby McWilliams
• Morio C McWilliams, PAC
• MDBL. LLC
• MDC Chiropractic LLC
• Ryan Kent Meacham, MD
• Peter D Mead, CRM
• Robert Peter Mead, M.A.
• Bridget Meade-Sentosun, PA-C
• Christy Alana Meade, M.D.
• Lyndsey Anne Meador

• Massage Therapist in Portland, OR
• Providers in Portland, OR by specialty
• Massage Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2016; 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.