Active NPI
Isaiah Loftin, B.A., L.M.T.
- Massage Therapist
- Eugene, OR
National Provider Identifier
1174770358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 14773
- Practice address
- 1755 Coburg Rd
BLDG 4, Suite 2
Eugene, OR 97401-4982 - Phone
- (541) 684-3988
- NPI assigned
- Aug 19, 2008
- Sex
- Male
- Sole proprietor
- No
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 | 14773 | OR | Primary |
Addresses
Primary practice location
1755 Coburg Rd
BLDG 4, Suite 2
Eugene, OR 97401-4982
Mailing address
535 W 20TH Ave
Eugene, OR 97405-2617
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
- Credentials
- Bachelor of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14773 | OR | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Village Health, Inc. | Past | Accepting new patients |
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.
-
- Marriage & Family Therapist
- Eugene, OR
- NPI 1487753273
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219104000000",
"number": "1174770358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "535 W 20TH AVE",
"city": "EUGENE",
"state": "OR",
"postal_code": "974052617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1755 COBURG RD",
"address_2": "BLDG 4, SUITE 2",
"city": "EUGENE",
"state": "OR",
"postal_code": "974014982",
"telephone_number": "541-684-3988"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOFTIN",
"first_name": "ISAIAH",
"credential": "B.A., L.M.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-08-19",
"last_updated": "2008-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OR",
"license": "14773",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eugene, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.