Individual provider Active NPI

Rachael Ann Cone, L.M.T.

  • Massage Therapist
  • Lake Oswego, OR
National Provider Identifier
1275856783
Registry record updated Jun 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
15816 Issued in OR
Practice address
412 Jefferson Pkwy Ste 204
Lake Oswego, OR 97035-1251
Phone
(971) 237-7875
NPI assigned
Mar 11, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2021

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 15816 OR Primary

Addresses

Primary practice location

412 Jefferson Pkwy Ste 204
Lake Oswego, OR 97035-1251

Mailing address

412 Jefferson Pkwy
Suite 204
Lake Oswego, OR 97035-1251
Phone (971) 237-7875

Other identifiers 1

IdentifierTypeStateIssuer
15816OtherORSTATE LICENSE

Other names 1

  • Rachael A Dessert Former name

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
15816ORMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1268265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623888000000",
    "number": "1275856783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 JEFFERSON PKWY",
            "address_2": "SUITE 204",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970351251",
            "telephone_number": "971-237-7875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 JEFFERSON PKWY STE 204",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970351251",
            "telephone_number": "971-237-7875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONE",
        "first_name": "RACHAEL",
        "middle_name": "ANN",
        "credential": "L.M.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-11",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "15816",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "15816",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHAEL",
            "last_name": "DESSERT",
            "middle_name": "A",
            "credential": "L.M.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Jun 17, 2021; 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.