Individual provider Active NPI

Tyler Jennings Crabtree, RN, LMT

  • Massage Therapist
  • Eugene, OR
National Provider Identifier
1356151989
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
28734 Issued in OR
Practice address
260 Oakway Ctr
Eugene, OR 97401-5663
Phone
(541) 632-3359
NPI assigned
Jan 7, 2025
Last updated
Jan 7, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 200840875RN OR
Massage Therapist 225700000X 28734 OR Primary

Addresses

Primary practice location

260 Oakway Ctr
Eugene, OR 97401-5663

Mailing address

25368 Perkins Rd
Veneta, OR 97487-9783
Phone (971) 570-8352

Other practice location 1

25368 Perkins Rd
Veneta, OR 97487-9783
Phone (971) 570-8352

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
200840875RNORMDRegistered Nurse
28734ORMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Azalea Bodycare Massage Therapist CurrentSince Jan 12, 2025 Accepting new patients

Locations

260 Oakway Ctr
Eugene, OR 97401
Phone (541) 632-3359

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1736208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736208000000",
    "number": "1356151989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25368 PERKINS RD",
            "city": "VENETA",
            "state": "OR",
            "postal_code": "974879783",
            "telephone_number": "971-570-8352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 OAKWAY CTR",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974015663",
            "telephone_number": "541-632-3359"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25368 Perkins Rd",
            "address_purpose": "LOCATION",
            "city": "Veneta",
            "state": "OR",
            "postal_code": "974879783",
            "country_code": "US",
            "telephone_number": "971-570-8352",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRABTREE",
        "first_name": "TYLER",
        "middle_name": "JENNINGS",
        "credential": "RN, LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-01-07",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "200840875RN",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "28734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; 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.