Active NPI
Jordan Nicole Ward, LMT
- Massage Therapist
- West Linn, OR
National Provider Identifier
1356664056
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 11562
- Practice address
- 22000 Willamette Dr
West Linn, OR 97068-3275 - Phone
- (503) 722-8888
- NPI assigned
- Mar 9, 2010
- Sex
- Female
- Sole proprietor
- No
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 | 11562 | OR | Primary |
Addresses
Primary practice location
22000 Willamette Dr
West Linn, OR 97068-3275
Mailing address
22000 Willamette Dr
West Linn, OR 97068-3275
Phone (503) 722-8888
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2257000X | Other | OR | MASSAGE |
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 |
|---|---|---|---|
| 11562 | OR | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268092800000",
"number": "1356664056",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22000 WILLAMETTE DR",
"city": "WEST LINN",
"state": "OR",
"postal_code": "970683275",
"telephone_number": "503-722-8888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22000 WILLAMETTE DR",
"city": "WEST LINN",
"state": "OR",
"postal_code": "970683275",
"telephone_number": "503-722-8888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARD",
"first_name": "JORDAN",
"middle_name": "NICOLE",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-09",
"last_updated": "2010-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OR",
"license": "11562",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASSAGE",
"identifier": "2257000X",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in West Linn, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.