Scott Barry Carpenter, L.M.T.

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

4869 Issued in OR

Practice address

14355 SW Allen Blvd
Ste 100
Beaverton, OR 97005-4700

Phone

(503) 642-3423

NPI assigned

May 2, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Kereah Carpenter DC PC

  • Chiropractor
  • Beaverton, OR
  • NPI 1649446998
  NPD

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1356562425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14355 SW ALLEN BLVD",
            "address_2": "STE 100",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970054700",
            "telephone_number": "503-642-3423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14355 SW ALLEN BLVD",
            "address_2": "STE 100",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970054700",
            "telephone_number": "503-642-3423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARPENTER",
        "first_name": "SCOTT",
        "middle_name": "BARRY",
        "credential": "L.M.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-02",
        "last_updated": "2023-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "4869",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSAGE LICENSE",
            "identifier": "4869",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carol Butler-Paisley, FNP, Pmhnp, LLC
• Noah Carolan, M.ED
• Angela Carpenter, BS, RDH, EPP
• Harriet Frances Carpenter, LMT
• Kereah Carpenter, D.C
• Estivali Carrillo
• Nicholas David Carter, LPC
• Sharon Suzanne Carter, L.C.S.W.
• Cascadia Behavioral Healthcare Inc
• Jason Richard Caselli, DPT, PT

• Massage Therapist in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Massage Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; 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.