Cathie Apple

Individual provider Active NPI Massage Therapist · Redmond, OR

NPI 1124410212 · NPPES record last updated Feb 26, 2015

Key facts

NPI
1124410212
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
20776 (OR)
Practice address
1707 SW Parkway Dr
Redmond, OR 97756-2581
Phone
(541) 480-5276
NPI assigned
Feb 26, 2015
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
20776ORMDMassage Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 20776 OR Yes

Addresses

Primary practice location

1707 SW Parkway Dr
Redmond, OR 97756-2581

Mailing address

631 Mountain Ridge Dr
Culver, OR 97734-9532
Phone (541) 480-5276

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 26, 2015.

{
    "created_epoch": "1424908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424908800000",
    "number": "1124410212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 MOUNTAIN RIDGE DR",
            "city": "CULVER",
            "state": "OR",
            "postal_code": "977349532",
            "telephone_number": "541-480-5276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1707 SW PARKWAY DR",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977562581",
            "telephone_number": "541-480-5276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "APPLE",
        "first_name": "CATHIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-26",
        "last_updated": "2015-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "20776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redmond, OR

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Sources for this page

Verify at the official NPI Registry.