Justin Alessandro Tijerino

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

25320 Issued in OR

Practice address

4630 River Rd N Ste a
Keizer, OR 97303-4648

Phone

(503) 304-2225

Fax

(503) 304-2226

NPI assigned

Aug 13, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Jeffery W. Baker D.C. P.C.

  • Chiropractor
  • Keizer, OR
  • NPI 1619142429
  NPD

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

{
    "created_epoch": "1565654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565654400000",
    "number": "1275189532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4630 RIVER RD N STE A",
            "city": "KEIZER",
            "state": "OR",
            "postal_code": "973034648",
            "telephone_number": "541-497-9969",
            "fax_number": "503-304-2226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4630 RIVER RD N STE A",
            "city": "KEIZER",
            "state": "OR",
            "postal_code": "973034648",
            "telephone_number": "503-304-2225",
            "fax_number": "503-304-2226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIJERINO",
        "first_name": "JUSTIN",
        "middle_name": "ALESSANDRO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-13",
        "last_updated": "2019-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "25320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Chirotouch",
            "affiliation": "N",
            "endpointDescription": "Chirotouch",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4630 River Rd N Ste A",
            "city": "Keizer",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973034648",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Thomas a Kahan MD PC
• Gregory M Thomas, MD
• Brenden D Thompson, DPT
• Patricia Thompson
• Thrifty Payless Inc
• Timothy R. Harbolt, DMD
• TLC North LLC
• Top Counseling LLC
• Robyn Lynn Travis, LPC
• Teresa M Treinen, PT, DPT

• Massage Therapist in Keizer, OR
• Providers in Keizer, OR by specialty
• Massage Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2019; 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.