Active NPI
Sean Manley Vierra, LMT, ACMT
- Massage Therapist
- Eugene, OR
National Provider Identifier
1255688768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 19099
- Practice address
- 1034 Lawrence St
Eugene, OR 97401-3440 - Phone
- (541) 603-0820
- NPI assigned
- Aug 14, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Reflexologist | 173C00000X | 19099 | OR | |
| Massage Therapist | 225700000X | 19099 | OR | Primary |
Addresses
Primary practice location
1034 Lawrence St
Eugene, OR 97401-3440
Mailing address
835 Ladino PL W
Harrisburg, OR 97446-9689
Phone (541) 603-0820
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 |
|---|---|---|---|
| 19099 | OR | MD | Reflexologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344902400000",
"number": "1255688768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "835 LADINO PL W",
"city": "HARRISBURG",
"state": "OR",
"postal_code": "974469689",
"telephone_number": "541-603-0820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1034 LAWRENCE ST",
"city": "EUGENE",
"state": "OR",
"postal_code": "974013440",
"telephone_number": "541-603-0820"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VIERRA",
"first_name": "SEAN",
"middle_name": "MANLEY",
"credential": "LMT, ACMT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-08-14",
"last_updated": "2012-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "173C00000X",
"taxonomy_group": "",
"desc": "Reflexologist",
"state": "OR",
"license": "19099",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OR",
"license": "19099",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eugene, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.