Sheila M Custer-Sage, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

5372 Issued in OR

Practice address

1201 SW 12TH Ave
Suite 205
Portland, OR 97205-2046

Phone

(503) 279-0205

Fax

(503) 279-0206

NPI assigned

Jan 14, 2009

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

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.

• Bryan Baisinger, PC

  • Chiropractor
  • Portland, OR
  • NPI 1083754659
  NPD (past)

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

{
    "created_epoch": "1231891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231891200000",
    "number": "1467699397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 SW 12TH AVE",
            "address_2": "SUITE 205",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052046",
            "telephone_number": "503-279-0205",
            "fax_number": "503-279-0206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 SW 12TH AVE",
            "address_2": "SUITE 205",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052046",
            "telephone_number": "503-279-0205",
            "fax_number": "503-279-0206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUSTER-SAGE",
        "first_name": "SHEILA",
        "middle_name": "M",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-14",
        "last_updated": "2009-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "5372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tera Emily Cushman, M.D.
• Winston H Cushman, BSSW
• Hayley M Cusick, P.A.-C
• Jonathan Fitzgerald Cuskey, LMT
• Gregory Vincent Cussen, LMSW
• Jean Rae Custer, RDH
• John Mark Custer, LCSW
• Jeffrey Allen Cusumano
• Anne Cuthbert, LPC
• Justine Cuthbertson

• 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 14, 2009; 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.