Kaila Autrey, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

22004 Issued in OR

Practice address

3 Monroe Pkwy
Suite U
Lake Oswego, OR 97035-1486

Phone

(503) 387-3205

NPI assigned

Nov 23, 2016

Last updated

Nov 23, 2016By the provider in NPPES

Sex

Female

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

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

• RF Heikens Enterprises, Inc

  dba Elements Therapeutic Massage - Lake Oswego

  • Massage Therapist
  • Lake Oswego, OR
  • NPI 1124454160
  NPD (past)

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

{
    "created_epoch": "1479859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479859200000",
    "number": "1235672270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 S PONDEROSA ST",
            "city": "CANBY",
            "state": "OR",
            "postal_code": "970136312",
            "telephone_number": "541-815-8863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 MONROE PKWY",
            "address_2": "SUITE U",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970351486",
            "telephone_number": "503-387-3205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUTREY",
        "first_name": "KAILA",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-23",
        "last_updated": "2016-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "22004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Syed Husain Asghar, MD, DMD, BDS
• Elizabeth Lynn Ash
• Bree Michele Ashby
• Stephen Spencer Austad, DO
• Barry Michael Austin, M.D.
• Avamere Lake Oswego Operations Investors, LLC
• Avamere Stafford Operations, LLC
• Tristan Avery
• Kathleen Joyce Ayres, LPC, NCC
• Ronda Lynn Babcock, RN

• Massage Therapist in Lake Oswego, OR
• Providers in Lake Oswego, OR by specialty
• Massage Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2016; 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.