Active NPI
Mary Windsor, LMT
- Massage Therapist
- Sublimity, OR
National Provider Identifier
1114687464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 3756
- Practice address
- 101 S Center St Ste B
Sublimity, OR 97385-9100 - Phone
- (503) 510-0242
- NPI assigned
- Dec 28, 2021
- 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 | 3756 | OR | Primary |
Addresses
Primary practice location
101 S Center St Ste B
Sublimity, OR 97385-9100
Mailing address
42889 Valley View Dr
Scio, OR 97374-9318
Phone (503) 510-0242
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 |
|---|---|---|---|
| 3756 | OR | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1640649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640649600000",
"number": "1114687464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42889 VALLEY VIEW DR",
"city": "SCIO",
"state": "OR",
"postal_code": "973749318",
"telephone_number": "503-510-0242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 S CENTER ST STE B",
"city": "SUBLIMITY",
"state": "OR",
"postal_code": "973859100",
"telephone_number": "503-510-0242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WINDSOR",
"first_name": "MARY",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-12-28",
"last_updated": "2021-12-28",
"certification_date": "2021-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OR",
"license": "3756",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sublimity, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.