Tabitha Gentry, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

8107 Issued in OR

Practice address

1818 NE MLK Jr Blvd Ste C
Portland, OR 97212-3976

Phone

(503) 206-8988

NPI assigned

Jan 25, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: tabitha@overvieweffetbodywork.com

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1643068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643068800000",
    "number": "1457003923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8310 NE HUMBOLDT ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972204759",
            "telephone_number": "503-912-8910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 NE MLK JR BLVD STE C",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972123976",
            "telephone_number": "503-206-8988"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2100 NE Broadway St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972321569",
            "country_code": "US",
            "telephone_number": "503-912-8910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GENTRY",
        "first_name": "TABITHA",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-25",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "8107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Tabitha@overvieweffetbodywork.com",
            "affiliation": "N",
            "endpointDescription": "HIPPA compliant email via Hushmail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2100 NE Broadway St Ste 300",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972321569",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Kara Gentry
• Solon Chase Gentry, D.C.
• Elizabeth Christiane Gentzkow, LPC
• Genuine Home Care LLC
• Colleen Genuine, LMT
• Lydia Genz
• Kristen Ann Genzano

• Massage Therapist in Portland, OR
• Providers in Portland, OR by specialty
• Massage Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.

Verify at the official NPI Registry.