Isata K Massaquoi, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

Practice address

60164 Crater Rd
Bend, OR 97702

Phone

(541) 279-8421

Fax

(541) 389-4420

NPI assigned

Jul 16, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Isata Sibley Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Falling Waters LLC

  • Chiropractor
  • Bend, OR
  • NPI 1154449890
  NPD (past)

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

{
    "created_epoch": "1531699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666051200000",
    "number": "1366928061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60164 CRATER RD",
            "city": "BEND",
            "state": "OR",
            "postal_code": "97702",
            "telephone_number": "541-389-4321",
            "fax_number": "541-389-4420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60164 CRATER RD",
            "city": "BEND",
            "state": "OR",
            "postal_code": "97702",
            "telephone_number": "541-279-8421",
            "fax_number": "541-389-4420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSAQUOI",
        "first_name": "ISATA",
        "middle_name": "K",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-16",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ISATA",
            "last_name": "SIBLEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alexandrea Masloski, LCSW
• Becky Louise Mason, LMT, PSS
• Debbi Mason, M.A.
• Massage Solutions of Bend
• Massage Solutions of Bend LLC
• Russell Edmund Massine, M.D.
• Ryan Michael Masterson, DO
• Adrienne M Mastrandrea, NP
• Michael J Mastrangelo, M.D.
• Kristin Marie Mathes, LCSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2022; 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.