Individual provider Active NPI

John Robert Inouye, LMT

  • Massage Therapist
  • Gresham, OR
National Provider Identifier
1285278457
Registry record updated Oct 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
19506 Issued in OR
Practice address
16 NE Hogan Dr Ste 108
Gresham, OR 97030-7967
Phone
(503) 740-2614
NPI assigned
Oct 31, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2019

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 19506 OR Primary

Addresses

Primary practice location

16 NE Hogan Dr Ste 108
Gresham, OR 97030-7967

Mailing address

16 NE Hogan Dr Ste 108
Gresham, OR 97030-7967
Phone (503) 740-2614

Other practice location 1

16 NE Hogan Dr Ste 108
Gresham, OR 97030-7967

Other practice location 2

16 NE Hogan Dr Ste 108
Gresham, OR 97030-7967

Other practice location 3

16 NE Hogan Dr Ste 108
Gresham, OR 97030-7967

Other practice location 4

16 NE Hogan Dr Ste 108
Gresham, OR 97030-7967
Phone (503) 740-2614

Other practice location 5

16 NE Hogan Dr Ste 108
Gresham, OR 97030-7967
Phone (503) 740-2614

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
19506ORMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1572480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572480000000",
    "number": "1285278457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 NE HOGAN DR STE 108",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970307967",
            "telephone_number": "503-740-2614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 NE HOGAN DR STE 108",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970307967",
            "telephone_number": "503-740-2614"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16 NE Hogan Dr Ste 108",
            "address_purpose": "LOCATION",
            "city": "Gresham",
            "state": "OR",
            "postal_code": "970307967",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16 NE Hogan Dr Ste 108",
            "address_purpose": "LOCATION",
            "city": "Gresham",
            "state": "OR",
            "postal_code": "970307967",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16 NE Hogan Dr Ste 108",
            "address_purpose": "LOCATION",
            "city": "Gresham",
            "state": "OR",
            "postal_code": "970307967",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16 NE Hogan Dr Ste 108",
            "address_purpose": "LOCATION",
            "city": "Gresham",
            "state": "OR",
            "postal_code": "970307967",
            "country_code": "US",
            "telephone_number": "503-740-2614",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16 NE Hogan Dr Ste 108",
            "address_purpose": "LOCATION",
            "city": "Gresham",
            "state": "OR",
            "postal_code": "970307967",
            "country_code": "US",
            "telephone_number": "503-740-2614",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "INOUYE",
        "first_name": "JOHN",
        "middle_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-10-31",
        "last_updated": "2019-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "19506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gresham, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.