Individual provider Active NPI

Roxanne Faye O'Hara, LMT

  • Massage Therapist
  • Portland, OR
National Provider Identifier
1194074484
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
18908 Issued in OR
Practice address
1611 SE Bybee Blvd
Portland, OR 97202-5752
Phone
(541) 653-1341
Fax
(866) 473-0398
NPI assigned
Sep 3, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC230807 OR
Massage Therapist 225700000X 18908 OR Primary

Addresses

Primary practice location

1611 SE Bybee Blvd
Portland, OR 97202-5752

Mailing address

1611 SE Bybee Blvd
Portland, OR 97202-5752
Phone (541) 653-1341

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://ritualunawellness.janeapp.com/admin#welcome Direct

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

LicenseStateTypeSpecialty
18908ORMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ritualuna Wellness LLC Massage Therapist CurrentSince Jan 1, 2022 Accepting new patients

Locations

1611 SE Bybee Blvd
Portland, OR 97202
Phone (503) 572-9234

6637 SE Milwaukie Ave
Ste 207
Portland, OR 97202
Phone (541) 653-1341

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1346630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1194074484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 SE BYBEE BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972025752",
            "telephone_number": "541-653-1341",
            "fax_number": "866-473-0398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 SE BYBEE BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972025752",
            "telephone_number": "541-653-1341",
            "fax_number": "866-473-0398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'HARA",
        "first_name": "ROXANNE",
        "middle_name": "FAYE",
        "name_prefix": "Ms.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-03",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC230807",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "18908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://ritualunawellness.janeapp.com/admin#welcome",
            "affiliation": "N",
            "endpointDescription": "Online practice management",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1611 SE Bybee Blvd",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972025752",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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 Aug 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.

Verify at the official NPI Registry.