Active NPI
Debra Ellen Simeral, LMT
- Massage Therapist
- Salem, OR
National Provider Identifier
1356392336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 11436
- Practice address
- 401 Ratcliff Dr SE
Salem, OR 97302-4581 - Phone
- (503) 931-2077
- NPI assigned
- May 13, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 11436 | OR | Primary |
Addresses
Primary practice location
401 Ratcliff Dr SE
Salem, OR 97302-4581
Mailing address
1213 E Virginia St
Stayton, OR 97383-2076
Phone (503) 931-2077
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
| License | State | Type | Specialty |
|---|---|---|---|
| 11436 | OR | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1342828800000",
"number": "1356392336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1213 E VIRGINIA ST",
"city": "STAYTON",
"state": "OR",
"postal_code": "973832076",
"telephone_number": "503-931-2077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 RATCLIFF DR SE",
"city": "SALEM",
"state": "OR",
"postal_code": "973024581",
"telephone_number": "503-931-2077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMERAL",
"first_name": "DEBRA",
"middle_name": "ELLEN",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-13",
"last_updated": "2012-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OR",
"license": "11436",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salem, OR
- Silver Falls Dermatology, LLC (Frontier Dermatology)
- Silver Falls Dermatology, LLC (Frontier Dermatology)
- Silver Falls Trauma Recovery LLC (Silver Falls Trauma Recovery)
- Silver Linings Senior Care Advisors LLC
- Linda Silvestre
- Dee A Simmons, CADC I
- January E Simmons
- Rae Lynn Simmons
- Terry L. Simmons, LMT
- Krista Brianne Simon, BS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.