Individual provider Active NPI

Sylvia Rachelle Green-Richards, LMT

  • Massage Therapist
  • Eugene, OR
National Provider Identifier
1457743403
Registry record updated Feb 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
4146 Issued in OR
Practice address
2740 Taylor St
Eugene, OR 97405-2214
Phone
(541) 344-9187
Fax
(541) 344-9180
NPI assigned
Feb 27, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2015

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 4146 OR Primary

Addresses

Primary practice location

2740 Taylor St
Eugene, OR 97405-2214

Mailing address

2740 Taylor St
Eugene, OR 97405-2214
Phone (541) 344-9187

Other identifiers 1

IdentifierTypeStateIssuer
1790992659OtherORNPI

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
4146ORMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
TSR Development Group,Inc Massage Therapist Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1424995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424995200000",
    "number": "1457743403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2740 TAYLOR ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974052214",
            "telephone_number": "541-344-9187",
            "fax_number": "541-344-9180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2740 TAYLOR ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974052214",
            "telephone_number": "541-344-9187",
            "fax_number": "541-344-9180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN-RICHARDS",
        "first_name": "SYLVIA",
        "middle_name": "RACHELLE",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-27",
        "last_updated": "2015-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "4146",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1790992659",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2015; 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.