Active NPI
Katherine Ann Case, L,M.T.
- Massage Therapist
- Portland, OR
National Provider Identifier
1376981969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 17912
- Practice address
- 5336 SE Bush St
Blue Room
Portland, OR 97206-5394 - Phone
- (503) 764-9092
- NPI assigned
- Jun 5, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 | 17912 | OR | Primary |
Addresses
Primary practice location
5336 SE Bush St
Blue Room
Portland, OR 97206-5394
Mailing address
3030 SE Waverleigh Blvd Apt 16
Portland, OR 97202-1971
Phone (503) 764-9092
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
- Credentials
- Medical Technician
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17912 | OR | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370390400000",
"number": "1376981969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3030 SE WAVERLEIGH BLVD APT 16",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972021971",
"telephone_number": "503-764-9092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5336 SE BUSH ST",
"address_2": "BLUE ROOM",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972065394",
"telephone_number": "503-764-9092"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASE",
"first_name": "KATHERINE",
"middle_name": "ANN",
"credential": "L,M.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-06-05",
"last_updated": "2013-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OR",
"license": "17912",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.