Elexis Marie Mendez, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

25113 Issued in OR

Practice address

1673 10TH St
West Linn, OR 97068-4679

Phone

(503) 305-7231

NPI assigned

Feb 17, 2022

Last updated

Feb 17, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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": "1645056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645056000000",
    "number": "1316692478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1673 10TH ST",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970684679",
            "telephone_number": "503-779-4256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1673 10TH ST",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970684679",
            "telephone_number": "503-305-7231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDEZ",
        "first_name": "ELEXIS",
        "middle_name": "MARIE",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-17",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "25113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "SOAP",
            "affiliation": "N",
            "endpointDescription": "SOAP",
            "use": "DIRECT",
            "useDescription": "Direct",
            "useOtherDescription": "Fax",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "Direct",
            "address_1": "1673 10th St",
            "city": "West Linn",
            "state": "OR",
            "country_code": "US",
            "postal_code": "970684679",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Massage Therapist in West Linn, OR
• Providers in West Linn, OR by specialty
• Massage Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2022; 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.