Individual provider Active NPI

Makiya Marie White, LMT

  • Massage Therapist
  • Tigard, OR
National Provider Identifier
1134838527
Registry record updated Nov 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
27326 Issued in OR
Practice address
12700 SW North Dakota St Ste 180
Tigard, OR 97223-0802
Phone
(503) 716-8281
Fax
(503) 716-8783
NPI assigned
Nov 15, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2022

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 27326 OR Primary

Addresses

Primary practice location

12700 SW North Dakota St Ste 180
Tigard, OR 97223-0802

Mailing address

2863 SE Brent St
Hillsboro, OR 97123-5235
Phone (951) 315-6333

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@straightup-chiro.com Direct

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
27326ORMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Straight Up Chiropractic CurrentSince Nov 20, 2022 Accepting new patients
Gregory Oltmann DC LLC CurrentSince Oct 22, 2023 Accepting new patients

Locations

12700 SW North Dakota St
Ste 180
Tigard, OR 97223
Phone (503) 716-8281

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.

NPI Registry JSON

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

{
    "created_epoch": "1668470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668470400000",
    "number": "1134838527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2863 SE BRENT ST",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971235235",
            "telephone_number": "951-315-6333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12700 SW NORTH DAKOTA ST STE 180",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972230802",
            "telephone_number": "503-716-8281",
            "fax_number": "503-716-8783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "MAKIYA",
        "middle_name": "MARIE",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-15",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "27326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@straightup-chiro.com",
            "affiliation": "N",
            "endpointDescription": "Company email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "12700 SW North Dakota St Ste 180",
            "city": "Tigard",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972230802",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tigard, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2022; 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.