Jordan Brinkmeyer, LMT – Massage Therapist

Key facts

NPI: 1124769419
Entity type: Individual (NPI type 1)
Primary specialty: Massage Therapist 225700000X
License: 24816 (OR)
Practice address: 1400 Valley River Dr Ste 260
Eugene, OR 97401-6760
Phone: (541) 343-5633
Fax: (541) 762-5633
NPI assigned: Apr 2, 2022
Sex: Female
Sole proprietor: No

Organizations & group practices 2

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

Healing Motion Physical Therapy, Inc. Physical Therapist · Philomath, OR · NPI 1316919327

NPD
Pure Life Chiropractic, LLC Chiropractor · Eugene, OR · NPI 1053614586

NPD

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
24816	OR	MD	Massage Therapist

Practice roles

Organization	Specialty	Status	New patients
Healing Motion Physical Therapy, Inc.		Current since Nov 9, 2023	Accepting new patients
Pure Life Chiropractic, LLC		Current since Apr 10, 2022	Accepting new patients

Locations

1400 Valley River Dr
Ste 260
Eugene, OR 97401
Phone (458) 273-5052

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Massage Therapist	225700000X	24816	OR	Yes

Addresses

Primary practice location

1400 Valley River Dr Ste 260
Eugene, OR 97401-6760

Mailing address

1400 Valley River Dr Ste 260
Eugene, OR 97401-6760
Phone (541) 343-5633

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 2, 2022.

{
    "created_epoch": "1648857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648857600000",
    "number": "1124769419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 VALLEY RIVER DR STE 260",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974016760",
            "telephone_number": "541-343-5633",
            "fax_number": "541-762-5633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 VALLEY RIVER DR STE 260",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974016760",
            "telephone_number": "541-343-5633",
            "fax_number": "541-762-5633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRINKMEYER",
        "first_name": "JORDAN",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-02",
        "last_updated": "2022-04-02",
        "certification_date": "2022-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "24816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

All providers in Eugene, OR · Massage Therapist in Oregon

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 2, 2022. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.