Active NPI
Robin Lynn Moralli, L.M.T
- Massage Therapist
- Brookings, OR
National Provider Identifier
1437453198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 17782
- Practice address
- 616 Hemlock St
Suite B
Brookings, OR 97415-9456 - Phone
- (541) 813-1863
- NPI assigned
- Jan 10, 2011
- 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 | 17782 | OR | Primary |
Addresses
Primary practice location
616 Hemlock St
Suite B
Brookings, OR 97415-9456
Mailing address
422 Pine St
Brookings, OR 97415-9045
Phone (503) 764-6190
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 |
|---|---|---|---|
| 17782 | OR | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334275200000",
"number": "1437453198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "422 PINE ST",
"city": "BROOKINGS",
"state": "OR",
"postal_code": "974159045",
"telephone_number": "503-764-6190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "616 HEMLOCK ST",
"address_2": "SUITE B",
"city": "BROOKINGS",
"state": "OR",
"postal_code": "974159456",
"telephone_number": "541-813-1863"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORALLI",
"first_name": "ROBIN",
"middle_name": "LYNN",
"credential": "L.M.T",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-01-10",
"last_updated": "2012-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OR",
"license": "17782",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brookings, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.