Individual provider Active NPI

Kerry Ann Wood, L.M.T.

  • Massage Therapist
  • Ashland, OR
National Provider Identifier
1467012914
Registry record updated Jun 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
4355 Issued in OR
Practice address
450 Siskiyou Blvd Ste 1
Ashland, OR 97520-5107
Phone
(541) 625-3162
NPI assigned
Jun 17, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2019

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 4355 OR Primary

Addresses

Primary practice location

450 Siskiyou Blvd Ste 1
Ashland, OR 97520-5107

Mailing address

215 Patterson St
Ashland, OR 97520-1283
Phone (541) 625-3162

Other practice location 1

300 E Hersey St Ste 16
Ashland, OR 97520-6200
Phone (541) 625-3162

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
4355ORMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1560729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560729600000",
    "number": "1467012914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 PATTERSON ST",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975201283",
            "telephone_number": "541-625-3162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 SISKIYOU BLVD STE 1",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975205107",
            "telephone_number": "541-625-3162"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 E Hersey St Ste 16",
            "address_purpose": "LOCATION",
            "city": "Ashland",
            "state": "OR",
            "postal_code": "975206200",
            "country_code": "US",
            "telephone_number": "541-625-3162",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOOD",
        "first_name": "KERRY",
        "middle_name": "ANN",
        "name_prefix": "Miss",
        "credential": "L.M.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-17",
        "last_updated": "2019-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "4355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2019; 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.