Active NPI
Michael Guida
- Massage Therapist
- Portland, OR
National Provider Identifier
1386130987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 19016
- Practice address
- 513 NE Schuyler St
Portland, OR 97212 - Phone
- (631) 561-9468
- NPI assigned
- Jul 6, 2018
- Sex
- Male
- 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 | 19016 | OR | Primary |
Addresses
Primary practice location
513 NE Schuyler St
Portland, OR 97212
Mailing address
625 SE 30TH Ave Apt D
Portland, OR 97214-3195
Phone (631) 561-9468
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 |
|---|---|---|---|
| 19016 | OR | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Woven Hand Health LLC | Single Specialty | Current | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684713600000",
"number": "1386130987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 SE 30TH AVE APT D",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972143195",
"telephone_number": "631-561-9468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "513 NE SCHUYLER ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97212",
"telephone_number": "631-561-9468"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUIDA",
"first_name": "MICHAEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-07-06",
"last_updated": "2023-05-22",
"certification_date": "2023-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "OR",
"license": "19016",
"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 May 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.