Individual provider Active NPI

Nancy Ellen Lauka, LMT

  • Massage Therapist
  • Portland, OR
National Provider Identifier
1326870700
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
7104 Issued in OR
Practice address
7886 SE 13TH Ave
Portland, OR 97202-6300
Phone
(503) 956-9396
Fax
(503) 206-4791
NPI assigned
Aug 15, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2024

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 7104 OR Primary

Addresses

Primary practice location

7886 SE 13TH Ave
Portland, OR 97202-6300

Mailing address

1327 SE Tacoma St # 157
Portland, OR 97202-6639
Phone (503) 233-9874

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
Credentials
Master of Theology

State licenses

LicenseStateTypeSpecialty
7104ORMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Rewilding Practice LLC CurrentSince Aug 25, 2025 Accepting new patients
Heart Spring Health LLC CurrentSince Feb 9, 2025 Accepting new patients

Locations

7886 SE 13th Ave
Portland, OR 97202
Phone (503) 415-0089

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1723680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1326870700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1327 SE TACOMA ST # 157",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972026639",
            "telephone_number": "503-233-9874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7886 SE 13TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972026300",
            "telephone_number": "503-956-9396",
            "fax_number": "503-206-4791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAUKA",
        "first_name": "NANCY",
        "middle_name": "ELLEN",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-15",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "7104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; 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.