Active NPI
Rachael Ann Summers, LMT
- Massage Therapist
- Beaverton, OR
National Provider Identifier
1174044556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 20844
- Practice address
- 10700 SW Beaverton Hillsdale Hwy Ste 546
Beaverton, OR 97005-4739 - Phone
- (503) 521-6926
- NPI assigned
- Jul 6, 2017
- Last updated
- Nov 23, 2022
- 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 | 20844 | OR | Primary |
Addresses
Primary practice location
10700 SW Beaverton Hillsdale Hwy Ste 546
Beaverton, OR 97005-4739
Mailing address
10700 SW Beaverton Hillsdale Hwy
Ste 546
Beaverton, OR 97005-1978
Phone (503) 521-6926
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 |
|---|---|---|---|
| 20844 | OR | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Earth Breath Yoga, LLC | Massage Therapist | Current | Accepting new patients |
Locations
10700 SW Beaverton Hillsdale Hwy
Ste 546
Beaverton, OR 97005
Phone (503) 347-9949
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": "1499299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669161600000",
"number": "1174044556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10700 SW BEAVERTON HILLSDALE HWY",
"address_2": "STE 546",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970051978",
"telephone_number": "503-521-6926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10700 SW BEAVERTON HILLSDALE HWY STE 546",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970054739",
"telephone_number": "503-521-6926"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUMMERS",
"first_name": "RACHAEL",
"middle_name": "ANN",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-07-06",
"last_updated": "2022-11-23",
"certification_date": "2022-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OR",
"license": "20844",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beaverton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 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.