Individual provider Active NPI

Shelby James, LMT

  • Massage Therapist
  • Seaside, OR
National Provider Identifier
1124564455
Registry record updated Oct 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
22870 Issued in OR
Practice address
620 S Holladay Dr Ste 3
Seaside, OR 97138
Phone
(503) 738-3343
NPI assigned
Jan 10, 2017
Last updated
Oct 6, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 22870 OR Primary

Addresses

Primary practice location

620 S Holladay Dr Ste 3
Seaside, OR 97138

Mailing address

620 S Holladay Dr Ste 3
Seaside, OR 97138-6653
Phone (503) 738-3343

Other practice location 1

1201 SW 12th Ave Ste 600
Portland, OR 97205-2034
Phone (503) 224-2425

Other practice location 2

1201 SW 12th Ave Ste 600
Portland, OR 97205-2034
Phone (503) 224-2425

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

LicenseStateTypeSpecialty
22870ORMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Avista Chiropractic LLC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1484006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570320000000",
    "number": "1124564455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 S HOLLADAY DR STE 3",
            "city": "SEASIDE",
            "state": "OR",
            "postal_code": "971386653",
            "telephone_number": "503-738-3343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 S HOLLADAY DR STE 3",
            "city": "SEASIDE",
            "state": "OR",
            "postal_code": "97138",
            "telephone_number": "503-738-3343"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1201 SW 12th Ave Ste 600",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972052034",
            "country_code": "US",
            "telephone_number": "503-224-2425",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1201 SW 12th Ave Ste 600",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972052034",
            "country_code": "US",
            "telephone_number": "503-224-2425",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAMES",
        "first_name": "SHELBY",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-10",
        "last_updated": "2019-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "22870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seaside, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2019; 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.