Richard Blatt, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

21264 Issued in OR

Practice address

2450 SE Belmont St
Portland, OR 97214-2821

Phone

(503) 407-4827

NPI assigned

Aug 25, 2015

Last updated

Aug 25, 2015By the provider in NPPES

Sex

Male

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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Portland Bodywork

  • Massage Therapist
  • Portland, OR
  • NPI 1902273998
  NPD (past) Authorized official

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

{
    "created_epoch": "1440460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440460800000",
    "number": "1295102382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1539 SE BELMONT ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972142641",
            "telephone_number": "503-407-4827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 SE BELMONT ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972142821",
            "telephone_number": "503-407-4827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLATT",
        "first_name": "RICHARD",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-08-25",
        "last_updated": "2015-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "21264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Blaser, CADC-R
• Ethan Andrew Blashford, PHARMD
• Sarah Megan Blaszczak, LMFT
• Maria Blaszkiw
• Philip James Blatt, MD
• Linda Kathleen Blatter, QMHP-C
• Ranann Blatter, LPC
• Samuel W Blattner
• Shemaya N Blauer
• John Blaufus

• Massage Therapist in Portland, OR
• Providers in Portland, 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 25, 2015; 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.