Active NPI
Kyle Pleasant, LMT
- Massage Therapist
- Portland, OR
National Provider Identifier
1205250024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 20302
- Practice address
- 718 SW Alder St
Suite 218
Portland, OR 97205-3422 - Phone
- (903) 245-0512
- NPI assigned
- Feb 13, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 | 20302 | OR | Primary |
Addresses
Primary practice location
718 SW Alder St
Suite 218
Portland, OR 97205-3422
Mailing address
945 NW Naito Pkwy
Apt 314
Portland, OR 97209-4705
Phone (903) 245-0512
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 |
|---|---|---|---|
| 20302 | OR | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444867200000",
"number": "1205250024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "945 NW NAITO PKWY",
"address_2": "APT 314",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972094705",
"telephone_number": "903-245-0512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "718 SW ALDER ST",
"address_2": "SUITE 218",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972053422",
"telephone_number": "903-245-0512"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PLEASANT",
"first_name": "KYLE",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-02-13",
"last_updated": "2015-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OR",
"license": "20302",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Oct 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.