Heather B. Davenport, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

LMT-023603 Issued in OR

Practice address

3 Monroe Pkwy Ste U
Lake Oswego, OR 97035-8875

Phone

(503) 344-1326

NPI assigned

Oct 27, 2017

Sex

Female

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Helix Sports Therapy LLC

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Tualatin, OR
  • NPI 1275495624
  NPD Authorized official

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

{
    "created_epoch": "1509062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509062400000",
    "number": "1265944409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17616 SW BANY RD",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970075707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 MONROE PKWY STE U",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970358875",
            "telephone_number": "503-344-1326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVENPORT",
        "first_name": "HEATHER",
        "middle_name": "B.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-27",
        "last_updated": "2017-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "LMT-023603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miki Darby, LCSW
• Marion J N Darling, MD
• Jerry Roy Darm, M.D.
• Varsha Datta
• Daughters of Asclepius LLC
• David K. White, MD, PC
• David Palacios Inc
• Anna Marie Davidson, OTR/L
• Elizabeth Davidson, ND
• Davis Chiropractic

• Massage Therapist in Lake Oswego, OR
• Providers in Lake Oswego, OR by specialty
• Massage Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2017; 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.