Individual provider Active NPI

Emily Amen, LMT

  • Massage Therapist
  • Portland, OR
National Provider Identifier
1487844494
Registry record updated Sep 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
10253 Issued in OR
Practice address
7831 SE Stark St Ste 204
Portland, OR 97215-2301
Phone
(971) 266-4162
NPI assigned
Jul 26, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2021

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 10253 OR Primary

Addresses

Primary practice location

7831 SE Stark St Ste 204
Portland, OR 97215-2301

Mailing address

818 SW 3Rd Ave # 263
Portland, OR 97204-2405
Phone (503) 490-1901

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
10253ORMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cocoon Massage LLC Massage Therapist CurrentSince Apr 20, 2021 Accepting new patients

Locations

7831 SE Stark St
Ste 204
Portland, OR 97215
Phone (503) 679-6881

7831 SE Stark St
Ste 200
Portland, OR 97215
Phone (503) 260-2325

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631923200000",
    "number": "1487844494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 SW 3RD AVE # 263",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972042405",
            "telephone_number": "503-490-1901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7831 SE STARK ST STE 204",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972152301",
            "telephone_number": "971-266-4162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMEN",
        "first_name": "EMILY",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-26",
        "last_updated": "2021-09-18",
        "certification_date": "2021-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "10253",
            "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 Sep 18, 2021; 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.