Individual provider Active NPI

Alisha Johnson, LMT

  • Massage Therapist
  • Roseburg, OR
National Provider Identifier
1285590083
Registry record updated Dec 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
26896 Issued in OR
Practice address
725 SE Main St
Roseburg, OR 97470-3982
Phone
(541) 643-8185
NPI assigned
Dec 25, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 25, 2025

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 26896 OR Primary

Addresses

Primary practice location

725 SE Main St
Roseburg, OR 97470-3982

Mailing address

725 SE Main St
Roseburg, OR 97470-3982
Phone (541) 643-8185

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
26896ORMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1766620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766620800000",
    "number": "1285590083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 SE MAIN ST",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974703982",
            "telephone_number": "541-643-8185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 SE MAIN ST",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974703982",
            "telephone_number": "541-643-8185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ALISHA",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-12-25",
        "last_updated": "2025-12-25",
        "certification_date": "2025-12-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "26896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseburg, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 25, 2025; 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.