Individual provider Active NPI

Ronald Dewey Wattles, L.M.T

  • Massage Therapist
  • Eugene, OR
National Provider Identifier
1265652952
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
2306 Issued in OR
Practice address
331 W 13TH Ave Ste F
Eugene, OR 97401-3400
Phone
(541) 914-4584
NPI assigned
Apr 26, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X 2306 OR Primary

Addresses

Primary practice location

331 W 13TH Ave Ste F
Eugene, OR 97401-3400

Mailing address

331 West 13T Avenue
Suite F
Eugene, OR 97401-2541
Phone (541) 914-4584

Other names 1

  • Mr. Joe Dewey Wattles Other name

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

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753228800000",
    "number": "1265652952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 WEST 13T AVENUE",
            "address_2": "SUITE F",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012541",
            "telephone_number": "541-914-4584",
            "fax_number": "541-342-1982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 W 13TH AVE STE F",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013400",
            "telephone_number": "541-914-4584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATTLES",
        "first_name": "RONALD",
        "middle_name": "DEWEY",
        "name_prefix": "Mr.",
        "credential": "L.M.T",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-26",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "2306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOE",
            "last_name": "WATTLES",
            "middle_name": "DEWEY",
            "prefix": "MR.",
            "credential": "L.M.T.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jul 23, 2025; 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.