Elise York, AAS, BS, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

14499 Issued in OR

Practice address

924 E Jackson St
Medford, OR 97504-7025

Phone

(541) 788-2610

Fax

(541) 236-1729

NPI assigned

Nov 1, 2011

Last updated

Aug 30, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Associate of Applied Science, Bachelor of Science

State licenses

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

{
    "created_epoch": "1320105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630281600000",
    "number": "1356627509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8010 BRIE TERRACE",
            "city": "WHITE CITY",
            "state": "OR",
            "postal_code": "97503",
            "telephone_number": "541-788-2610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 E JACKSON ST",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975047025",
            "telephone_number": "541-788-2610",
            "fax_number": "541-236-1729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YORK",
        "first_name": "ELISE",
        "credential": "AAS, BS, LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-01",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "14499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "eliseyork@soul-serenityspa.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "address_1": "8010 Brie Ter",
            "city": "White City",
            "state": "OR",
            "country_code": "US",
            "postal_code": "975031342",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Frank Yeboah
• YMCA of Medford, Oregon (Rogue Valley Family YMCA)
• Tawnya Yockey, LMSW, CSWA
• Jessica Yoder
• John Yoo, PHARM. D.
• Sophia Isabelle York
• Andrew T Young, MD
• Heather J Young, MD
• Katherine Young, LMT
• Linda Young, MD

• Massage Therapist in Medford, OR
• Providers in Medford, 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 30, 2021; 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.