Paul Allen Nixon, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT047430 Issued in TX

Practice address

8695 SW Jack Burns Blvd Ste E
Wilsonville, OR 97070-5797

Phone

(503) 386-5340

NPI assigned

Apr 8, 2021

Last updated

Apr 8, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1617840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617840000000",
    "number": "1255911806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 WAYNE DR",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786643144",
            "telephone_number": "512-999-8254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8695 SW JACK BURNS BLVD STE E",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970705797",
            "telephone_number": "503-386-5340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIXON",
        "first_name": "PAUL",
        "middle_name": "ALLEN",
        "name_prefix": "Mr.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-08",
        "last_updated": "2021-04-08",
        "certification_date": "2021-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": "MT047430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Marlene Nibert-Young, RN
• Corrina Renee Nickerson
• Madelyn Anne Nicklous
• Ryan David Nienaber, DC
• Nao Nishimura, D.C.
• Rebecca Nixon, L.M.T.
• No Boundaries Sport and Spine LLC
• Arleen Norkitis, PT
• Solomon A Norris, ATC
• Northwest Extremity Specialists LLC (NES Wilsonville)

• Massage Therapist in Wilsonville, OR
• Providers in Wilsonville, OR by specialty
• Massage Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2021; 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.