Individual provider Active NPI

Brian Romanelli, LMP

  • Massage Therapist
  • Eugene, OR
National Provider Identifier
1487108106
Registry record updated Aug 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
21591 Issued in OR
Practice address
2115 Arthur St
Eugene, OR 97405-1520
Phone
(541) 556-1084
NPI assigned
Aug 10, 2016
Last updated
Aug 10, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2016

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 21591 OR Primary

Addresses

Primary practice location

2115 Arthur St
Eugene, OR 97405-1520

Mailing address

1245 Charnelton St
Ste # 6
Eugene, OR 97401-6214
Phone (541) 556-1084

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
21591ORMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1470787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470787200000",
    "number": "1487108106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 CHARNELTON ST",
            "address_2": "STE # 6",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974016214",
            "telephone_number": "541-556-1084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 ARTHUR ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974051520",
            "telephone_number": "541-556-1084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMANELLI",
        "first_name": "BRIAN",
        "name_prefix": "Mr.",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-10",
        "last_updated": "2016-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "21591",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 10, 2016; 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.