Active NPI
Maryanne Elizabeth Schiller, LMT
- Massage Therapist
- Forest Grove, OR
National Provider Identifier
1306480249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 25420
- Practice address
- 2328 Pacific Ave RM 500
Forest Grove, OR 97116-2450 - Phone
- (503) 607-9621
- NPI assigned
- Nov 4, 2019
- Sex
- Female
- Sole proprietor
- No
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 | 25420 | OR | Primary |
Addresses
Primary practice location
2328 Pacific Ave RM 500
Forest Grove, OR 97116-2450
Mailing address
2328 Pacific Ave RM 500
Forest Grove, OR 97116-2450
Phone (503) 607-9621
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 25420 | Other | OR | OBMT LICENSE NUMBER |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | massage@trmtplace.com |
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 |
|---|---|---|---|
| 25420 | OR | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572825600000",
"number": "1306480249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2328 PACIFIC AVE RM 500",
"city": "FOREST GROVE",
"state": "OR",
"postal_code": "971162450",
"telephone_number": "503-607-9621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2328 PACIFIC AVE RM 500",
"city": "FOREST GROVE",
"state": "OR",
"postal_code": "971162450",
"telephone_number": "503-607-9621"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHILLER",
"first_name": "MARYANNE",
"middle_name": "ELIZABETH",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-04",
"last_updated": "2019-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OR",
"license": "25420",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OBMT LICENSE NUMBER",
"identifier": "25420",
"state": "OR"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "massage@trmtplace.com",
"affiliation": "N",
"endpointDescription": "business email",
"address_1": "2328 Pacific Ave Rm 500",
"city": "Forest Grove",
"state": "OR",
"country_code": "US",
"postal_code": "971162450",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Forest Grove, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.