Individual provider Active NPI

Richard Titterington, LMP, LMT

  • Massage Therapist
  • Vancouver, WA
National Provider Identifier
1245425628
Registry record updated Sep 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA00024619 Issued in WA
Practice address
3305 Main St
Suite 117
Vancouver, WA 98663-2255
Phone
(503) 998-9144
NPI assigned
Sep 10, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA00024619 WA Primary
Massage Therapist 225700000X 12890 OR

Addresses

Primary practice location

3305 Main St
Suite 117
Vancouver, WA 98663-2255

Mailing address

1533 NE 77TH Ave
Portland, OR 97213-6749
Phone (503) 998-9144

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
12890ORMDMassage Therapist
MA00024619WAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189382400000",
    "number": "1245425628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1533 NE 77TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972136749",
            "telephone_number": "503-998-9144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3305 MAIN ST",
            "address_2": "SUITE 117",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986632255",
            "telephone_number": "503-998-9144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TITTERINGTON",
        "first_name": "RICHARD",
        "credential": "LMP, LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-10",
        "last_updated": "2007-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00024619",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "12890",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2007; 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.