Active NPI
Jakob Freng
- Massage Therapist
- Eugene, OR
National Provider Identifier
1487210100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 24855
- Practice address
- 1200 Executive Pkwy Suite 230
Eugene, OR 97401-2365 - Phone
- (541) 636-3278
- NPI assigned
- May 17, 2019
- Last updated
- May 17, 2019
- Sex
- Male
- 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 | 24855 | OR | Primary |
Addresses
Primary practice location
1200 Executive Pkwy Suite 230
Eugene, OR 97401-2365
Mailing address
1200 Executive Pkwy Suite230
Eugene, OR 97401
Phone (541) 636-3278
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
| License | State | Type | Specialty |
|---|---|---|---|
| 24855 | OR | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NLM Eugene LLC | Past | Accepting new patients | |
| New Leaf Hyperbarics Eugnene | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinic/Center
- Eugene, OR
- NPI 1982060620
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558051200000",
"number": "1487210100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 EXECUTIVE PKWY SUITE230",
"city": "EUGENE",
"state": "OR",
"postal_code": "97401",
"telephone_number": "541-636-3278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 EXECUTIVE PKWY SUITE 230",
"city": "EUGENE",
"state": "OR",
"postal_code": "974012365",
"telephone_number": "541-636-3278"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRENG",
"first_name": "JAKOB",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-05-17",
"last_updated": "2019-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OR",
"license": "24855",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eugene, OR
- Nikki Freeman
- Olivia Ann Freeman, LMT
- Rachel A Freeman
- Yumiko Freeman
- Michele Ranee' French
- Fresenius Medical Care Dialysis Services - Oregon, (Oregon Dialysis Services - Hospital Campus)
- Fresenius Medical Care Dialysis Services - Oregon, LLC (Fresenius Medical Care Eugene)
- Fresenius Medical Care Dialysis Services - Oregon, LLC (Fresenius Kidney Care West Eugene)
- Frances Elizabeth Freund
- Heather Frey, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 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.