Individual provider Active NPI

Rebecca Clare Ryder-Naber

  • Massage Therapist
  • Portland, OR
National Provider Identifier
1295117794
Registry record updated Jun 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
21396 Issued in OR
Practice address
2106 NE 47TH Ave
Portland, OR 97213-2064
Phone
(503) 282-7581
NPI assigned
Jun 22, 2015
Last updated
Jun 22, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2015

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 21396 OR Primary

Addresses

Primary practice location

2106 NE 47TH Ave
Portland, OR 97213-2064

Mailing address

4223 SE 74TH Ave
Portland, OR 97206-3415
Phone (503) 481-4821

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
21396ORMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Overvold Chiropractic Past Accepting new patients
Portland Spine Center LLC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1434931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434931200000",
    "number": "1295117794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4223 SE 74TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972063415",
            "telephone_number": "503-481-4821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2106 NE 47TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972132064",
            "telephone_number": "503-282-7581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYDER-NABER",
        "first_name": "REBECCA",
        "middle_name": "CLARE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-22",
        "last_updated": "2015-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "21396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 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.