Active NPI
Qayla Porter, LMT
- Massage Therapist
- Salem, OR
National Provider Identifier
1407398803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 22858
- Practice address
- 1880 Lancaster Dr NE
Suite 107
Salem, OR 97305-1089 - Phone
- (503) 589-0700
- NPI assigned
- Nov 16, 2016
- Sex
- Female
- Sole proprietor
- No
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 | 22858 | OR | Primary |
Addresses
Primary practice location
1880 Lancaster Dr NE
Suite 107
Salem, OR 97305-1089
Mailing address
1880 Lancaster Dr NE
Suite 107
Salem, OR 97305-1089
Phone (503) 589-0700
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 |
|---|---|---|---|
| 22858 | OR | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christopher T Stevenson | 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": "1479254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479254400000",
"number": "1407398803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1880 LANCASTER DR NE",
"address_2": "SUITE 107",
"city": "SALEM",
"state": "OR",
"postal_code": "973051089",
"telephone_number": "503-589-0700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1880 LANCASTER DR NE",
"address_2": "SUITE 107",
"city": "SALEM",
"state": "OR",
"postal_code": "973051089",
"telephone_number": "503-589-0700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORTER",
"first_name": "QAYLA",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-11-16",
"last_updated": "2016-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OR",
"license": "22858",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.