Barbara Ann Pickle, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

11011 Issued in OR

Practice address

10211 SW Barbur Blvd Ste 206a
Portland, OR 97219-5935

Phone

(503) 332-0454

NPI assigned

Jan 10, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1294617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294617600000",
    "number": "1316241029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3950 SW 102ND AVE APT 96",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970054674",
            "telephone_number": "503-332-0454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10211 SW BARBUR BLVD STE 206A",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972195935",
            "telephone_number": "503-332-0454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICKLE",
        "first_name": "BARBARA",
        "middle_name": "ANN",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-10",
        "last_updated": "2011-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "OR",
            "license": "11011",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "11011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacy Pickerel
• Brianna M Pickering, MD
• Ronnie Lee Pickering, PHARM.D.
• Tisa Pickering, MSW
• Mary Ellis Pickett, MD
• Tyler Pickle, LCSW, CADC-I
• Aaron Anthony Pickrell, M.D.
• Shaylie Lucille Pickrell
• Courtney Kathleen Pickworth, ND
• Madison Grace Pico, MD

• Massage Therapist in Portland, OR
• Providers in Portland, OR by specialty
• Massage Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2011; 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.