Active NPI
Victoria Danielle Gates, LMT
- Massage Therapist
- Portland, OR
National Provider Identifier
1255692695
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 15280
- Practice address
- 2526 NE 15TH Ave
Portland, OR 97212-4222 - Phone
- (503) 288-7668
- NPI assigned
- Jun 1, 2012
- Last updated
- Jun 7, 2012
- 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 | 15280 | OR | Primary |
Addresses
Primary practice location
2526 NE 15TH Ave
Portland, OR 97212-4222
Mailing address
1732 NE Sumner St
Portland, OR 97211-5637
Phone (503) 820-8177
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 |
|---|---|---|---|
| 15280 | OR | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Root Whole Body Health, Inc | Massage Therapist | Past | Accepting new patients |
| Root Whole Body Health, Inc | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Naturopath
- Portland, OR
- NPI 1497912752
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339027200000",
"number": "1255692695",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1732 NE SUMNER ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972115637",
"telephone_number": "503-820-8177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2526 NE 15TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972124222",
"telephone_number": "503-288-7668"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GATES",
"first_name": "VICTORIA",
"middle_name": "DANIELLE",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-06-01",
"last_updated": "2012-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OR",
"license": "15280",
"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 Jun 7, 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.