Active NPI
Kylee Jo Veerkamp, LMT
- Massage Therapist
- Salem, OR
National Provider Identifier
1437620929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 24712
- Practice address
- 223 Commercial St NE Ste 109
Salem, OR 97301-3411 - Phone
- (971) 290-4376
- Fax
- (971) 275-1900
- NPI assigned
- Dec 10, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 | 24712 | OR | Primary |
Addresses
Primary practice location
223 Commercial St NE Ste 109
Salem, OR 97301-3411
Mailing address
650 Marion St NE Apt 4a
Salem, OR 97301-3750
Phone (208) 860-6001
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 |
|---|---|---|---|
| 24712 | OR | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Roots Massage | Massage Therapist | Current | Accepting new patients |
Locations
223 Commercial St NE
Ste 109
Salem, OR 97301
Phone (971) 290-4376
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.
-
- Massage Therapist
- Salem, OR
- NPI 1629723572
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1544400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645574400000",
"number": "1437620929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "650 MARION ST NE APT 4A",
"city": "SALEM",
"state": "OR",
"postal_code": "973013750",
"telephone_number": "208-860-6001",
"fax_number": "971-275-1900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "223 COMMERCIAL ST NE STE 109",
"city": "SALEM",
"state": "OR",
"postal_code": "973013411",
"telephone_number": "971-290-4376",
"fax_number": "971-275-1900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VEERKAMP",
"first_name": "KYLEE",
"middle_name": "JO",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-12-10",
"last_updated": "2022-02-23",
"certification_date": "2022-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OR",
"license": "24712",
"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 Feb 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.