Mountain Massage & Wellness, LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

MOUNTAIN MASSAGE & WELLNESS, LLC

Practice address

386 S Broadway St
Estacada, OR 97023-9702

Phone

(503) 545-7159

NPI assigned

Oct 10, 2019

Last updated

Oct 10, 2019By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Shileigha Stephenson, LMTNPI 1710121983

Title

Owner/Massage Therapist

Phone

(503) 545-7159

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shileigha Dailease Stephenson, LMT, LMP

  • Massage Therapist
  • Estacada, OR
  • NPI 1710121983
  NPD (past) Authorized official

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

{
    "created_epoch": "1570665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570665600000",
    "number": "1295377356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 SE GREENWAY DR",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970801861",
            "telephone_number": "503-545-7159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "386 S BROADWAY ST",
            "city": "ESTACADA",
            "state": "OR",
            "postal_code": "970239702",
            "telephone_number": "503-545-7159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN MASSAGE & WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-10",
        "last_updated": "2019-10-10",
        "status": "A",
        "authorized_official_last_name": "STEPHENSON",
        "authorized_official_first_name": "SHILEIGHA",
        "authorized_official_title_or_position": "OWNER/MASSAGE THERAPIST",
        "authorized_official_telephone_number": "503-545-7159",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Ann McQuillin Voss, CNM, PMHNP-BC
• Oneta Renee' Megahan, LMTF
• James Miller
• Sara Kline Mitenbuler, CRNP
• Julie Moore, LAC
• Mt Hood Home Care Service LLC
• James Richard Niebergall, PT
• Tamara Lynn Nielson, LMT, MLD/CDT
• Alan E Nolasco, MD
• Northwest Medical Foundation of Tillamook (Adventist Health Tillamook Medical Group Estacada)

• Massage Therapist in Estacada, OR
• Providers in Estacada, OR by specialty
• Massage Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.