Molly Mattecheck Schultz, L.M.T. – Massage Therapist

Key facts

NPI: 1144534124
Entity type: Individual (NPI type 1)
Primary specialty: Massage Therapist 225700000X
License: 17366 (OR)
Practice address: 6030 SE Division St
Portland, OR 97206-1346
Phone: (503) 772-1215
NPI assigned: Aug 2, 2010
Sex: Female
Sole proprietor: No

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 and National Provider Directory roles.

Aaron Armbruster DC LLC Clinic/Center · Portland, OR · NPI 1962661017

NPD (past)

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
17366	OR	MD	Massage Therapist

Practice roles

Organization	Specialty	Status	New patients
Aaron Armbruster DC LLC		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Massage Therapist	225700000X	17366	OR	Yes

Addresses

Primary practice location

6030 SE Division St
Portland, OR 97206-1346

Mailing address

4004 SE Boise St
Portland, OR 97202-3128
Phone (503) 720-1571

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 2, 2010.

{
    "created_epoch": "1280707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280707200000",
    "number": "1144534124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4004 SE BOISE ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972023128",
            "telephone_number": "503-720-1571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6030 SE DIVISION ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972061346",
            "telephone_number": "503-772-1215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULTZ",
        "first_name": "MOLLY",
        "middle_name": "MATTECHECK",
        "credential": "L.M.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-02",
        "last_updated": "2010-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "17366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

All providers in Portland, 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 Aug 2, 2010. 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.