Active NPI
Audey B Robison, LMT
- Massage Therapist
- Salem, OR
National Provider Identifier
1255522942
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 11596
- Practice address
- 991 Liberty St SE
Salem, OR 97302-4138 - Phone
- (503) 881-5812
- NPI assigned
- Aug 7, 2007
- Sex
- Male
- 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 | 11596 | OR | Primary |
Addresses
Primary practice location
991 Liberty St SE
Salem, OR 97302-4138
Mailing address
6110 Trail Ave NE
Keizer, OR 97303-3568
Phone (503) 881-5812
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 |
|---|---|---|---|
| 11596 | OR | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1186531200000",
"number": "1255522942",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6110 TRAIL AVE NE",
"city": "KEIZER",
"state": "OR",
"postal_code": "973033568",
"telephone_number": "503-881-5812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "991 LIBERTY ST SE",
"city": "SALEM",
"state": "OR",
"postal_code": "973024138",
"telephone_number": "503-881-5812"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBISON",
"first_name": "AUDEY",
"middle_name": "B",
"name_prefix": "Mr.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-08-07",
"last_updated": "2007-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OR",
"license": "11596",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.