Individual provider Active NPI

Mary E Pfotzer-Greenwood, LMT

  • Massage Therapist
  • Keizer, OR
National Provider Identifier
1386859346
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
7810 Issued in OR
Practice address
3789 River Rd N Ste D
Keizer, OR 97303-4825
Phone
(503) 856-9519
NPI assigned
May 13, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 7810 OR Primary

Addresses

Primary practice location

3789 River Rd N Ste D
Keizer, OR 97303-4825

Mailing address

965 Imperial Dr NE
Salem, OR 97301-1319
Phone (503) 399-9810

Other names 1

  • Mary Greenwood Professional name

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
7810ORMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1179014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386859346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "965 IMPERIAL DR NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973011319",
            "telephone_number": "503-399-9810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3789 RIVER RD N STE D",
            "city": "KEIZER",
            "state": "OR",
            "postal_code": "973034825",
            "telephone_number": "503-856-9519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PFOTZER-GREENWOOD",
        "first_name": "MARY",
        "middle_name": "E",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "7810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "GREENWOOD",
            "credential": "LMT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Keizer, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.