Thomas Matthew Jacobs, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

29107 Issued in OR

Practice address

4005 NE 76TH Ave
Portland, OR 97213-6429

Phone

(503) 347-1884

NPI assigned

Jul 15, 2025

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Theology

State licenses

Practice roles

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.

• Blue Foot Healing LLC

  • Massage Therapist
  • Portland, OR
  • NPI 1477302495
  NPD (past)

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

{
    "created_epoch": "1752537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1225920259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4005 NE 76TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972136429",
            "telephone_number": "503-347-1884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4005 NE 76TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972136429",
            "telephone_number": "503-347-1884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "THOMAS",
        "middle_name": "MATTHEW",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-07-15",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "29107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Jacobs, M.D.
• Merel Burleigh Jacobs
• Nancy Cyr Jacobs, CNS
• Natalie Jane Jacobs, MSW
• Robin Jacobs, QMHP
• Veronica Jacobs, RN, BSN
• Zachary Jacobs
• Emily Jacobsen, PA
• Gary A Jacobsen, MD
• Jake Heath Jacobsen, ATR, LCSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2025; 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.