Individual provider Active NPI

Adrianne Reardon, LMT

  • Massage Therapist
  • Rogue River, OR
National Provider Identifier
1386343697
Registry record updated Mar 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
26024 Issued in OR
Practice address
109 W Main St Unit 5
Rogue River, OR 97537-9611
Phone
(541) 415-6374
NPI assigned
Feb 24, 2023
Last updated
Mar 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2023

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 26024 OR Primary

Addresses

Primary practice location

109 W Main St Unit 5
Rogue River, OR 97537-9611

Mailing address

109 W Main St Unit 5
Rogue River, OR 97537-9611

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address billing@rrchiro.net Rogue River Chiropractic PC

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
26024ORMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rogue River Chiropractic PC PastSince Jan 1, 2002 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, 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": "1677196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679270400000",
    "number": "1386343697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 W MAIN ST UNIT 5",
            "city": "ROGUE RIVER",
            "state": "OR",
            "postal_code": "975379611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 W MAIN ST UNIT 5",
            "city": "ROGUE RIVER",
            "state": "OR",
            "postal_code": "975379611",
            "telephone_number": "541-415-6374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REARDON",
        "first_name": "ADRIANNE",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-24",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "26024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "billing@rrchiro.net",
            "affiliation": "Y",
            "endpointDescription": "Email",
            "affiliationName": "Rogue River Chiropractic PC",
            "address_1": "109 W Main St Unit 2",
            "city": "Rogue River",
            "state": "OR",
            "country_code": "US",
            "postal_code": "975379611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rogue River, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.

Verify at the official NPI Registry.