Samantha E Kreizenbeck

Primary specialty

MechanotherapistTaxonomy code 172M00000X

License

16765 Issued in OR

Practice address

2155 NW 173Rd Ave
Suite 103
Beaverton, OR 97006-3563

Phone

(503) 352-0735

NPI assigned

May 17, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Samantha Kreizenbeck

  • Massage Therapist
  • Aloha, OR
  • NPI 1851685267
  NPD (past) Authorized official

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

{
    "created_epoch": "1305590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380844800000",
    "number": "1457644916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16784 SW VINCENT ST",
            "city": "ALOHA",
            "state": "OR",
            "postal_code": "970071912",
            "telephone_number": "503-464-6410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2155 NW 173RD AVE",
            "address_2": "SUITE 103",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970063563",
            "telephone_number": "503-352-0735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREIZENBECK",
        "first_name": "SAMANTHA",
        "middle_name": "E",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-17",
        "last_updated": "2013-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "OR",
            "license": "16765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Kozlowski, COTA
• Robin Marla Kramer, M.A., L.M.F.T.
• Natalie Ann Krane, M.D.
• Karen Krautscheid, LMT, CPT
• Emily Mary Kravets
• Linda G Krentz, PMHNP
• Cindy L Krieger, MA, LPC, NCC
• Anna-Lise K Krippaehne
• Trichelle Kristensen
• Richard Henry Krokum, D.M.D

• Mechanotherapist in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Mechanotherapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2013; 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.