Individual provider Active NPI

Lenka Dresselhaus, LMT

  • Massage Therapist
  • Milwaukie, OR
National Provider Identifier
1265882575
Registry record updated Oct 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
9194 Issued in OR
Practice address
6542 SE Lake Rd Ste 106
Milwaukie, OR 97222-2245
Phone
(503) 329-4583
NPI assigned
Jun 16, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 9194 OR Primary

Addresses

Primary practice location

6542 SE Lake Rd Ste 106
Milwaukie, OR 97222-2245

Mailing address

6542 SE Lake Rd Ste 106
Milwaukie, OR 97222-2245
Phone (503) 329-4583

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

LicenseStateTypeSpecialty
9194ORMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1466035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539734400000",
    "number": "1265882575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6542 SE LAKE RD STE 106",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972222245",
            "telephone_number": "503-329-4583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6542 SE LAKE RD STE 106",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972222245",
            "telephone_number": "503-329-4583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRESSELHAUS",
        "first_name": "LENKA",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-16",
        "last_updated": "2018-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "9194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukie, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2018; 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.