Active NPI
Kathryn Shires, LMT
- Massage Therapist
- Milwaukie, OR
National Provider Identifier
1245509132
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 13937
- Practice address
- 2100 SE Lake Rd
Suite One
Milwaukie, OR 97222-7759 - Phone
- (503) 608-9859
- NPI assigned
- Dec 21, 2011
- Last updated
- Dec 21, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 13937 | OR | Primary |
Addresses
Primary practice location
2100 SE Lake Rd
Suite One
Milwaukie, OR 97222-7759
Mailing address
7332 SW 13TH Dr
Apt. C
Portland, OR 97219-2089
Phone (503) 608-9859
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
| License | State | Type | Specialty |
|---|---|---|---|
| 13937 | OR | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1324425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324425600000",
"number": "1245509132",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7332 SW 13TH DR",
"address_2": "APT. C",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972192089",
"telephone_number": "503-608-9859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 SE LAKE RD",
"address_2": "SUITE ONE",
"city": "MILWAUKIE",
"state": "OR",
"postal_code": "972227759",
"telephone_number": "503-608-9859"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIRES",
"first_name": "KATHRYN",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-12-21",
"last_updated": "2011-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OR",
"license": "13937",
"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 Dec 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.