Active NPI
Andrea Sophia Pinheiro
- Massage Therapist
- Portland, OR
National Provider Identifier
1174911473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 20181
- Practice address
- 7428 N Charleston Ave Apt 434
Portland, OR 97203-3782 - Phone
- (305) 713-4016
- NPI assigned
- Jan 8, 2015
- 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 |
|---|---|---|---|---|
| Recreation Therapist | 225800000X | 290011 | LA | |
| Massage Therapist | 225700000X | 20181 | OR | Primary |
Addresses
Primary practice location
7428 N Charleston Ave Apt 434
Portland, OR 97203-3782
Mailing address
15284 SW Royalty Pkwy Apt C01
Tigard, OR 97224-3993
Phone (305) 713-4016
Other names 1
- Miss Sophia Pinheiro
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 |
|---|---|---|---|
| 20181 | OR | MD | Massage Therapist |
| 290011 | LA | MD | Recreation Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1420675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595289600000",
"number": "1174911473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15284 SW ROYALTY PKWY APT C01",
"city": "TIGARD",
"state": "OR",
"postal_code": "972243993",
"telephone_number": "305-713-4016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7428 N CHARLESTON AVE APT 434",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972033782",
"telephone_number": "305-713-4016"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PINHEIRO",
"first_name": "ANDREA",
"middle_name": "SOPHIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-01-08",
"last_updated": "2020-07-21",
"certification_date": "2020-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "225800000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Recreation Therapist",
"state": "LA",
"license": "290011",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OR",
"license": "20181",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SOPHIA",
"last_name": "PINHEIRO",
"prefix": "MISS",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.