Active NPI
Rylen Feeney, BA, LMT
- Massage Therapist
- Portland, OR
National Provider Identifier
1306160395
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 14733
- Practice address
- 2440 NE Martin Luther King Jr. Blvd. Ste. 202
Portland, OR 97212 - Phone
- (503) 688-1482
- NPI assigned
- Mar 18, 2010
- Last updated
- Jan 13, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 14733 | OR | Primary |
Addresses
Primary practice location
2440 NE Martin Luther King Jr. Blvd. Ste. 202
Portland, OR 97212
Mailing address
2520 SE Ivon St
Portland, OR 97202-1263
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
- Credentials
- Bachelor of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14733 | OR | MD | Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389571200000",
"number": "1306160395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2520 SE IVON ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972021263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2440 NE MARTIN LUTHER KING JR. BLVD. STE. 202",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97212",
"telephone_number": "503-688-1482"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FEENEY",
"first_name": "RYLEN",
"credential": "BA, LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-03-18",
"last_updated": "2014-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OR",
"license": "14733",
"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 Jan 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.