Individual provider Active NPI

Amanda Savage, LMT

  • Massage Therapist
  • Enterprise, OR
National Provider Identifier
1225754559
Registry record updated Oct 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
26567 Issued in OR
Practice address
616 W North St
Enterprise, OR 97828-1427
Phone
(541) 398-8318
NPI assigned
Oct 18, 2022
Last updated
Oct 18, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X 26567 OR Primary

Addresses

Primary practice location

616 W North St
Enterprise, OR 97828-1427

Mailing address

59832 River Canyon Rd
Imnaha, OR 97842-8135
Phone (719) 428-5299

Other practice location 1

59832 River Canyon Rd
Imnaha, OR 97842-8135
Phone (719) 428-5299

Other practice location 2

102 E Wallowa Ave
Joseph, OR 97846-8495
Phone (541) 203-3634

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
26567ORMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jamie Slagel Lac LLC Single Specialty CurrentSince Oct 23, 2022 Accepting new patients
Healthcare Naturally Past Accepting new patients

Locations

616 W North St
Enterprise, OR 97828
Phone (541) 398-8318

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1666051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666051200000",
    "number": "1225754559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59832 RIVER CANYON RD",
            "city": "IMNAHA",
            "state": "OR",
            "postal_code": "978428135",
            "telephone_number": "719-428-5299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 W NORTH ST",
            "city": "ENTERPRISE",
            "state": "OR",
            "postal_code": "978281427",
            "telephone_number": "541-398-8318"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "59832 River Canyon Rd",
            "address_purpose": "LOCATION",
            "city": "Imnaha",
            "state": "OR",
            "postal_code": "978428135",
            "country_code": "US",
            "telephone_number": "719-428-5299",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "102 E Wallowa Ave",
            "address_purpose": "LOCATION",
            "city": "Joseph",
            "state": "OR",
            "postal_code": "978468495",
            "country_code": "US",
            "telephone_number": "541-203-3634",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAVAGE",
        "first_name": "AMANDA",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-18",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "26567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Enterprise, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.