Active NPI
Tracy McCallum, LMT
- Massage Therapist
- Portland, ME
National Provider Identifier
1174472864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 28972
- Practice address
- 44 Clinton St
Portland, ME 04103-3206 - Phone
- (360) 809-0739
- NPI assigned
- Jan 26, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MT801 | ME | |
| Massage Therapist | 225700000X | 28972 | OR | Primary |
Addresses
Primary practice location
44 Clinton St
Portland, ME 04103-3206
Mailing address
44 Clinton St
Portland, ME 04103-3206
Phone (360) 809-0739
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 |
|---|---|---|---|
| MT801 | ME | MD | Massage Therapist |
| 28972 | OR | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1769385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769385600000",
"number": "1174472864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44 CLINTON ST",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041033206",
"telephone_number": "360-809-0739"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44 CLINTON ST",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041033206",
"telephone_number": "360-809-0739"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCALLUM",
"first_name": "TRACY",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-01-26",
"last_updated": "2026-01-26",
"certification_date": "2026-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "ME",
"license": "MT801",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OR",
"license": "28972",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.