Individual provider Active NPI

Abigail S Ismath, LMT

  • Massage Therapist
  • Hillsboro, OR
National Provider Identifier
1407195852
Registry record updated Apr 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
18730 Issued in OR
Practice address
7177 NE Imbrie Dr
Hillsboro, OR 97124-7594
Phone
(503) 648-7662
Fax
(503) 966-7954
NPI assigned
Feb 5, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2019

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 18730 OR Primary

Addresses

Primary practice location

7177 NE Imbrie Dr
Hillsboro, OR 97124-7594

Mailing address

1126 SE Tamora Ave
Hillsboro, OR 97123-4781
Phone (503) 330-9022

Other practice location 1

205 SE 3rd Ave
400
Hillsboro, OR 97123-4093
Phone (503) 330-9022

Other names 1

  • Abigail S Crow Former 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
18730ORMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Soma Wellness Spa Massage Therapist Past 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": "1360022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554854400000",
    "number": "1407195852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1126 SE TAMORA AVE",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971234781",
            "telephone_number": "503-330-9022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7177 NE IMBRIE DR",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971247594",
            "telephone_number": "503-648-7662",
            "fax_number": "503-966-7954"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "205 SE 3rd Ave",
            "address_2": "400",
            "address_purpose": "LOCATION",
            "city": "Hillsboro",
            "state": "OR",
            "postal_code": "971234093",
            "country_code": "US",
            "telephone_number": "503-330-9022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ISMATH",
        "first_name": "ABIGAIL",
        "middle_name": "S",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-05",
        "last_updated": "2019-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "18730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ABIGAIL",
            "last_name": "CROW",
            "middle_name": "S",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hillsboro, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2019; 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.