Individual provider Active NPI

Rachel Sever, LMT, CMT

  • Massage Therapist
  • Portland, OR
National Provider Identifier
1295542140
Registry record updated Dec 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
28420 Issued in OR
Practice address
415 N Killingsworth St Ste 210
Portland, OR 97217-2440
Phone
(971) 415-9281
NPI assigned
Dec 13, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 96328 CA
Massage Therapist 225700000X 28420 OR Primary

Addresses

Primary practice location

415 N Killingsworth St Ste 210
Portland, OR 97217-2440

Mailing address

4762 SW Tucker Ave
Beaverton, OR 97005-2844
Phone (971) 415-9281

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
96328CAMDMassage Therapist
28420ORMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1734048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734048000000",
    "number": "1295542140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4762 SW TUCKER AVE",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970052844",
            "telephone_number": "971-415-9281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 N KILLINGSWORTH ST STE 210",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972172440",
            "telephone_number": "971-415-9281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEVER",
        "first_name": "RACHEL",
        "credential": "LMT, CMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-13",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "96328",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "28420",
            "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 Dec 13, 2024; 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.