Active NPI
Melissa Ann Renzi
- Massage Therapist
- Keizer, OR
National Provider Identifier
1144924994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 27307
- Practice address
- 137 Menlo Dr N
Keizer, OR 97303-5534 - Phone
- (503) 444-1281
- NPI assigned
- Mar 27, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 27307 | OR | Primary |
Addresses
Primary practice location
137 Menlo Dr N
Keizer, OR 97303-5534
Mailing address
1115 Swingwood CT NE
Keizer, OR 97303-3502
Phone (503) 444-1281
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
| License | State | Type | Specialty |
|---|---|---|---|
| 27307 | OR | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679875200000",
"number": "1144924994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1115 SWINGWOOD CT NE",
"city": "KEIZER",
"state": "OR",
"postal_code": "973033502",
"telephone_number": "503-444-1281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "137 MENLO DR N",
"city": "KEIZER",
"state": "OR",
"postal_code": "973035534",
"telephone_number": "503-444-1281"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RENZI",
"first_name": "MELISSA",
"middle_name": "ANN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-03-27",
"last_updated": "2023-03-27",
"certification_date": "2023-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OR",
"license": "27307",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Keizer, OR
- Morgan Read, DPT, PT
- Muni Reddy
- Chaney Reel Davis, RN, PMHNP, FNP
- Renaissance Recovery Resources, Inc. (Oregon Recovery Behavioral Health)
- Renaissance Recovery Resources, Inc. (Oregon Recovery Behavioral Health)
- Tehya Rice
- Angela Rose Richard
- Robert Shane Rictor, CADC I, CRM
- Jessica Rist
- River Road First Assisting
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.