Organization Active NPI

Therapeutic by Design, LLC

  • Massage Therapist
  • Portland, OR
National Provider Identifier
1467714402
Registry record updated Jun 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
12182 Issued in OR
Legal business name
THERAPEUTIC BY DESIGN, LLC
Practice address
2390 NW Thurman St # 1
Portland, OR 97210-2521
Phone
(503) 816-3890
NPI assigned
Jun 14, 2012
Last updated
Jun 25, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2012

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

Authorized official

Name
Malee Lucas, LMTNPI 1912261199
Title
Licensed Massage Therapist
Phone
(503) 816-3890

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 12182 OR Primary

Addresses

Primary practice location

2390 NW Thurman St # 1
Portland, OR 97210-2521

Mailing address

1718 NE 11TH Ave Apt 207
Portland, OR 97212-4072
Phone (503) 816-3890

National Provider Directory

National Provider Directory

Locations

2390 NW Thurman St
#1
Portland, OR 97210
Phone (503) 816-3890

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1339632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340582400000",
    "number": "1467714402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1718 NE 11TH AVE APT 207",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972124072",
            "telephone_number": "503-816-3890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2390 NW THURMAN ST # 1",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972102521",
            "telephone_number": "503-816-3890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPEUTIC BY DESIGN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-14",
        "last_updated": "2012-06-25",
        "status": "A",
        "authorized_official_last_name": "LUCAS",
        "authorized_official_first_name": "MALEE",
        "authorized_official_title_or_position": "LICENSED MASSAGE THERAPIST",
        "authorized_official_telephone_number": "503-816-3890",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "12182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2012; 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.