Individual provider Active NPI

Steven Reiber

  • Massage Therapist
  • Milwaukie, OR
National Provider Identifier
1235853102
Registry record updated Oct 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
24925 Issued in OR
Practice address
13152 SE Rusk Rd
Milwaukie, OR 97222-2171
Phone
(503) 919-7001
Fax
(503) 919-7344
NPI assigned
Oct 3, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 24925 OR Primary

Addresses

Primary practice location

13152 SE Rusk Rd
Milwaukie, OR 97222-2171

Mailing address

13152 SE Rusk Rd
Milwaukie, OR 97222-2171
Phone (425) 516-8540

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
24925ORMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pivot Health Inc Massage Therapist CurrentSince Oct 9, 2022 Accepting new patients
Pivot Health Inc PastSince Oct 9, 2022 Accepting new patients

Locations

13152 SE Rusk Rd
Portland, OR 97222
Phone (503) 919-7001

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1664755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667174400000",
    "number": "1235853102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13152 SE RUSK RD",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972222171",
            "telephone_number": "425-516-8540",
            "fax_number": "503-919-7011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13152 SE RUSK RD",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972222171",
            "telephone_number": "503-919-7001",
            "fax_number": "503-919-7344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REIBER",
        "first_name": "STEVEN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-10-03",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "24925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukie, OR

Sources for this page

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