Individual provider Active NPI

Maryanne Elizabeth Schiller, LMT

  • Massage Therapist
  • Forest Grove, OR
National Provider Identifier
1306480249
Registry record updated Nov 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
25420 Issued in OR
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

Updated by the provider on Nov 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
25420OtherOROBMT LICENSE NUMBER

Electronic endpoints 1

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
25420ORMDMassage 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.

Verify at the official NPI Registry.