Organization Active NPI

Massage Therapy Center of Sandy

  • Massage Therapist
  • Sandy, OR
National Provider Identifier
1124167226
Registry record updated Jul 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
11803 Issued in OR
Legal business name
MASSAGE THERAPY CENTER OF SANDY
Practice address
38971 Pioneer Blvd
Sandy, OR 97055-8080
Phone
(503) 826-0141
NPI assigned
Feb 5, 2007
Last updated
Jul 19, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2007

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

Authorized official

Name
Mrs. Christine Ann Andrade, LMTNPI 1134341795
Title
Owner
Phone
(503) 826-0141

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225700000X 11803 OR Primary

Addresses

Primary practice location

38971 Pioneer Blvd
Sandy, OR 97055-8080

Mailing address

38971 Pioneer Blvd
Sandy, OR 97055-8080
Phone (503) 826-0141

National Provider Directory

National Provider Directory

Locations

38971 Pioneer Blvd
Sandy, OR 97055
Phone (503) 826-0141

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184803200000",
    "number": "1124167226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38971 PIONEER BLVD",
            "city": "SANDY",
            "state": "OR",
            "postal_code": "970558080",
            "telephone_number": "503-826-0141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38971 PIONEER BLVD",
            "city": "SANDY",
            "state": "OR",
            "postal_code": "970558080",
            "telephone_number": "503-826-0141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASSAGE THERAPY CENTER OF SANDY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2007-07-19",
        "status": "A",
        "authorized_official_last_name": "ANDRADE",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-826-0141",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "11803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2007; 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.