Spencer Folkman, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

27626 Issued in OR

Practice address

29702 SW Town Center Loop W Ste C
Wilsonville, OR 97070-6481

Phone

(503) 583-8128

NPI assigned

Apr 12, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Revitalize Health & Wellness LLC

  • Naturopath
  • Wilsonville, OR
  • NPI 1679139778
  NPD

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

{
    "created_epoch": "1681257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681257600000",
    "number": "1194411280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12375 SW SUSSEX ST",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970085276",
            "telephone_number": "503-808-0441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29702 SW TOWN CENTER LOOP W STE C",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970706481",
            "telephone_number": "503-583-8128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOLKMAN",
        "first_name": "SPENCER",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-12",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "27626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheryl D Ferreira, LCMHC
• Carlos Finnigan
• Elizabeth Ann Fitzgerald, DPT
• Daniel Fleury
• Rebecca Jewell Flowers, COTA/L
• Ranee Forrette
• Fortes Laboratories Inc
• Jessica Fox, PTA
• Nikol R Fox, MSP
• Katherine Rena Franklin

• Massage Therapist in Wilsonville, OR
• Providers in Wilsonville, OR by specialty
• Massage Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2023; 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.