Active NPI
Rebecca Lynn Phillips, MFA LMT
- Massage Therapist
- Coos Bay, OR
National Provider Identifier
1467922294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 22841
- Practice address
- 2590 Woodland Dr
Coos Bay, OR 97420-2050 - Phone
- (979) 402-0666
- NPI assigned
- Dec 5, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 22841 | OR | Primary |
Addresses
Primary practice location
2590 Woodland Dr
Coos Bay, OR 97420-2050
Mailing address
2023 Cedar CT
North Bend, OR 97459-2174
Phone (979) 402-0666
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 22841 | Other | OR | MASSAGE THERAPY |
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
- Credentials
- Master of Fine Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22841 | OR | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543968000000",
"number": "1467922294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2023 CEDAR CT",
"city": "NORTH BEND",
"state": "OR",
"postal_code": "974592174",
"telephone_number": "979-402-0666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2590 WOODLAND DR",
"city": "COOS BAY",
"state": "OR",
"postal_code": "974202050",
"telephone_number": "979-402-0666"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS",
"first_name": "REBECCA",
"middle_name": "LYNN",
"credential": "MFA LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-12-05",
"last_updated": "2018-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OR",
"license": "22841",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASSAGE THERAPY",
"identifier": "22841",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Coos Bay, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.