Active NPI
Cathy Lynn Freitas, LMT
- Massage Therapist
- Rogue River, OR
National Provider Identifier
1124279724
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 11632
- Practice address
- 510 E Main St
Rogue River, OR 97537-9615 - Phone
- (541) 761-0032
- NPI assigned
- Oct 2, 2008
- 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 | 11632 | OR | Primary |
Addresses
Primary practice location
510 E Main St
Rogue River, OR 97537-9615
Mailing address
PO Box 655
Rogue River, OR 97537-0655
Phone (541) 761-0032
Other names 1
- Massage From The Heart
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 |
|---|---|---|---|
| 11632 | OR | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222905600000",
"number": "1124279724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 655",
"city": "ROGUE RIVER",
"state": "OR",
"postal_code": "975370655",
"telephone_number": "541-761-0032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 E MAIN ST",
"city": "ROGUE RIVER",
"state": "OR",
"postal_code": "975379615",
"telephone_number": "541-761-0032"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREITAS",
"first_name": "CATHY",
"middle_name": "LYNN",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-10-02",
"last_updated": "2008-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OR",
"license": "11632",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MASSAGE",
"last_name": "THE HEART",
"middle_name": "FROM",
"credential": "LMT",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Rogue River, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.