Heidi Jo Mayberry, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

Practice address

610 S Elizabeth St
Milton Freewater, OR 97862-1445

Phone

(509) 520-8970

NPI assigned

Feb 21, 2022

Last updated

Feb 21, 2022By the provider in NPPES

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

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

{
    "created_epoch": "1645401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645401600000",
    "number": "1285389932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 S ELIZABETH ST",
            "city": "MILTON FREEWATER",
            "state": "OR",
            "postal_code": "978621445",
            "telephone_number": "509-520-8970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 S ELIZABETH ST",
            "city": "MILTON FREEWATER",
            "state": "OR",
            "postal_code": "978621445",
            "telephone_number": "509-520-8970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYBERRY",
        "first_name": "HEIDI",
        "middle_name": "JO",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-21",
        "last_updated": "2022-02-21",
        "certification_date": "2022-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carmen Marie Madsen
• Divine Mansiba Maganto
• Manford E. Anliker (Blue Mountain Valley Physical Therapy Clinic)
• Chelsie Lynn Martuscelli, CRM
• Naomi Marie Matteson
• Jonathan Paul Mayberry, DPT
• Julie Medrano, CADCII,NCGCII,CGACII
• Jordan Mikel, RDH
• Milton Freewater SNF Operations, LLC (Milton Freewater Health & Rehabilitation)
• Andrei Vladimirovich Mitsourov, LMP

• Massage Therapist in Milton Freewater, OR
• Providers in Milton Freewater, OR by specialty
• Massage Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2022; 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.