Individual provider Active NPI

Hannah Christine Lorenzen, ATC, LMT

  • Massage Therapist
  • Corvallis, OR
National Provider Identifier
1336905967
Registry record updated Feb 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
27230 Issued in OR
Practice address
33864 SE Eastgate Cir
Corvallis, OR 97333-2248
Phone
(541) 961-8170
NPI assigned
Feb 21, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 10209655 OR
Massage Therapist 225700000X 27230 OR Primary

Addresses

Primary practice location

33864 SE Eastgate Cir
Corvallis, OR 97333-2248

Mailing address

4941 NE Vinifera St
Corvallis, OR 97330-9815

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
10209655ORMDAthletic Trainer
27230ORMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Performance Wellness Center LLC Massage Therapist CurrentSince Feb 25, 2024 Accepting new patients

Locations

33864 SE Eastgate Cir
Corvallis, OR 97333
Phone (541) 961-8170

Organizations & group practices 1

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": "1708473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708473600000",
    "number": "1336905967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4941 NE VINIFERA ST",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973309815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33864 SE EASTGATE CIR",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973332248",
            "telephone_number": "541-961-8170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LORENZEN",
        "first_name": "HANNAH",
        "middle_name": "CHRISTINE",
        "credential": "ATC, LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-21",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "OR",
            "license": "10209655",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "27230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corvallis, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.