Individual provider Active NPI

Marisa Farr, LMT

  • Massage Therapist
  • Portland, OR
National Provider Identifier
1427570985
Registry record updated Jul 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
22744 Issued in OR
Practice address
511 SW 10TH Ave Ste 610
Portland, OR 97205-2707
Phone
(503) 756-2743
NPI assigned
Jul 16, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2017

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 22744 OR Primary

Addresses

Primary practice location

511 SW 10TH Ave Ste 610
Portland, OR 97205-2707

Mailing address

27070 NW Meek Rd
Hillsboro, OR 97124-8555
Phone (916) 402-6142

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
22744ORMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Vitalize Acupuncture Inc. Past Accepting new patients
Vitalize Acupuncture and Herbal Medicine, LLC Past Accepting new patients

Organizations & group practices 2

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": "1500163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500163200000",
    "number": "1427570985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27070 NW MEEK RD",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971248555",
            "telephone_number": "916-402-6142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 SW 10TH AVE STE 610",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052707",
            "telephone_number": "503-756-2743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARR",
        "first_name": "MARISA",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-16",
        "last_updated": "2017-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "22744",
            "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 Jul 16, 2017; 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.