William Shane Ritter, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

Practice address

12950 SW Pacific Hwy Ste 115
Tigard, OR 97223-5052

Phone

(503) 620-0724

NPI assigned

Apr 8, 2022

Last updated

Apr 8, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Massage on the Go

  • Massage Therapist
  • Tigard, OR
  • NPI 1114696283

  Single Specialty

  NPD

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

{
    "created_epoch": "1649376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649376000000",
    "number": "1194467381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12950 SW PACIFIC HWY # 155",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972235061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12950 SW PACIFIC HWY STE 115",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972235052",
            "telephone_number": "503-620-0724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RITTER",
        "first_name": "WILLIAM",
        "middle_name": "SHANE",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-04-08",
        "last_updated": "2022-04-08",
        "certification_date": "2022-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "massageonthego@comcast.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "12950 SW Pacific Hwy Ste 115",
            "city": "Tigard",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972235052",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Debra Rinard
• Kristine Marie Rinella, B.A.
• Hezekiah Rinn
• Hailey Dianne Risdon
• Spencer Ritenour, O.D.
• Nicole Brook Ritz
• Carlibet Rivas Riera
• Melissa Rivera, PMHNP
• Celine Ellingston Rixey
• Rob Dramov, ND, PC (Dramov Naturopathic Medical Center)

• Massage Therapist in Tigard, OR
• Providers in Tigard, 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 8, 2022; 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.