Active NPI
Tina Joy Vernoy, LMT
- Massage Therapist
- Canyonville, OR
National Provider Identifier
1306479209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 12313
- Practice address
- 214 S Main St
Canyonville, OR 97417-9752 - Phone
- (541) 643-1441
- NPI assigned
- Feb 19, 2020
- 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 | 12313 | OR | Primary |
Addresses
Primary practice location
214 S Main St
Canyonville, OR 97417-9752
Mailing address
PO Box 243
Canyonville, OR 97417-0243
Phone (541) 643-1441
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
| License | State | Type | Specialty |
|---|---|---|---|
| 12313 | OR | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582070400000",
"number": "1306479209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 243",
"city": "CANYONVILLE",
"state": "OR",
"postal_code": "974170243",
"telephone_number": "541-643-1441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "214 S MAIN ST",
"city": "CANYONVILLE",
"state": "OR",
"postal_code": "974179752",
"telephone_number": "541-643-1441"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VERNOY",
"first_name": "TINA",
"middle_name": "JOY",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-02-19",
"last_updated": "2020-02-19",
"certification_date": "2020-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OR",
"license": "12313",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Canyonville, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.