Active NPI
Lisa Berkey
- Massage Therapist
- Lake Oswego, OR
National Provider Identifier
1275076465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 22929
- Practice address
- 4200 Mercantile Dr
Suite 750
Lake Oswego, OR 97035-3597 - Phone
- (503) 305-7762
- NPI assigned
- Nov 21, 2016
- Last updated
- Nov 21, 2016
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 22929 | OR | Primary |
Addresses
Primary practice location
4200 Mercantile Dr
Suite 750
Lake Oswego, OR 97035-3597
Mailing address
4200 Mercantile Dr
Suite 750
Lake Oswego, OR 97035-3597
Phone (503) 305-7762
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 |
|---|---|---|---|
| 22929 | OR | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tranquility Health | Massage Therapist | Past | Accepting new patients |
| Tranquility Natural Health LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Massage Therapist
- Lake Oswego, OR
- NPI 1891179370
-
- Mechanotherapist
- Lake Oswego, OR
- NPI 1891195897
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479686400000",
"number": "1275076465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4200 MERCANTILE DR",
"address_2": "SUITE 750",
"city": "LAKE OSWEGO",
"state": "OR",
"postal_code": "970353597",
"telephone_number": "503-305-7762"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4200 MERCANTILE DR",
"address_2": "SUITE 750",
"city": "LAKE OSWEGO",
"state": "OR",
"postal_code": "970353597",
"telephone_number": "503-305-7762"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERKEY",
"first_name": "LISA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-11-21",
"last_updated": "2016-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OR",
"license": "22929",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Oswego, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.