Active NPI
Allison Jayne Mott, MASSAGE THERAPIST
- Contractor
- Portland, OR
National Provider Identifier
1265659536
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- 8036
- Practice address
- 1235 SE Division St
Suite 302
Portland, OR 97202-1099 - Phone
- (503) 887-7759
- NPI assigned
- Apr 19, 2007
- 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 |
|---|---|---|---|---|
| Contractor | 171W00000X | 8036 | OR | Primary |
Addresses
Primary practice location
1235 SE Division St
Suite 302
Portland, OR 97202-1099
Mailing address
5538 NE 15TH Ave
Portland, OR 97211-4934
Phone (503) 887-7759
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 |
|---|---|---|---|
| 8036 | OR | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455062400000",
"number": "1265659536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5538 NE 15TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972114934",
"telephone_number": "503-887-7759"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1235 SE DIVISION ST",
"address_2": "SUITE 302",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972021099",
"telephone_number": "503-887-7759"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOTT",
"first_name": "ALLISON",
"middle_name": "JAYNE",
"name_prefix": "Ms.",
"credential": "MASSAGE THERAPIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-19",
"last_updated": "2016-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "OR",
"license": "8036",
"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 Feb 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.