Individual provider Active NPI

Gina Barbera, LMT

  • Massage Therapist
  • Fairview, OR
National Provider Identifier
1366974560
Registry record updated Mar 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
21788 Issued in OR
Practice address
1659 NE Market Dr
Fairview, OR 97024-3867
Phone
(503) 465-9100
Fax
(503) 665-2290
NPI assigned
Mar 28, 2017
Last updated
Mar 28, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 21788 OR Primary

Addresses

Primary practice location

1659 NE Market Dr
Fairview, OR 97024-3867

Mailing address

1659 NE Market Dr
Fairview, OR 97024-3867
Phone (503) 465-9100

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

LicenseStateTypeSpecialty
21788ORMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Springwater Chiropractic Center LLC PastSince Sep 8, 2019 Accepting new patients
Springwater Chiropractic Inc Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1490659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490659200000",
    "number": "1366974560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1659 NE MARKET DR",
            "city": "FAIRVIEW",
            "state": "OR",
            "postal_code": "970243867",
            "telephone_number": "503-465-9100",
            "fax_number": "503-665-2290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1659 NE MARKET DR",
            "city": "FAIRVIEW",
            "state": "OR",
            "postal_code": "970243867",
            "telephone_number": "503-465-9100",
            "fax_number": "503-665-2290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARBERA",
        "first_name": "GINA",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-28",
        "last_updated": "2017-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "21788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairview, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2017; 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.