Active NPI
Emily Amen, LMT
- Massage Therapist
- Portland, OR
National Provider Identifier
1487844494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 10253
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 10253 | OR | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cocoon Massage LLC | Massage Therapist | Current | 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.
-
- Massage Therapist
- Portland, OR
- NPI 1659644177
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
- Emily Ambler
- Tej Miguel Pereira Ambrose
- Mandy N Ambroz, CPHT
- Ambulatory Surgical Center
- Amedisys Oregon, L.L.C.
- Amanda Amendola, MSW
- America'S Best Contacts & Eyeglasses
- American Arthritis & Rheumatology Associates -Or LLC
- American Arthritis & Rheumatology Associates -Or LLC
- American Current Care PA
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.