Individual provider Active NPI

Isabel Ananda Burbeck, LMT

  • Massage Therapist
  • Portland, OR
National Provider Identifier
1245861913
Registry record updated Jan 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
15424 Issued in OR
Practice address
2705 E Burnside St Ste 213
Portland, OR 97214-1768
Phone
(503) 234-4288
NPI assigned
Jan 30, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2020

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 15424 OR Primary

Addresses

Primary practice location

2705 E Burnside St Ste 213
Portland, OR 97214-1768

Mailing address

7222 E Burnside St Apt 6
Portland, OR 97215-1495
Phone (503) 839-2900

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wilkes Family Investments LLC CurrentSince Apr 21, 2025 Accepting new patients
Wilkes Family Investments LLC CurrentSince Nov 13, 2023 Accepting new patients

Locations

2705 E Burnside St
Ste 213
Portland, OR 97214
Phone (503) 234-4288

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": "1580342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580342400000",
    "number": "1245861913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7222 E BURNSIDE ST APT 6",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972151495",
            "telephone_number": "503-839-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2705 E BURNSIDE ST STE 213",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972141768",
            "telephone_number": "503-234-4288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURBECK",
        "first_name": "ISABEL",
        "middle_name": "ANANDA",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-30",
        "last_updated": "2020-01-30",
        "certification_date": "2020-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "15424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2020; 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.