Individual provider Active NPI

Gregory Moring, LMP

  • Massage Therapist
  • Sisters, OR
National Provider Identifier
1497062004
Registry record updated Oct 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
18188 Issued in OR
Practice address
160 S Oak St Ste 100
Sisters, OR 97759-1589
Phone
(206) 940-5365
NPI assigned
Sep 2, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mechanotherapist 172M00000X MA60159639 WA
Massage Therapist 225700000X 18188 OR Primary

Addresses

Primary practice location

160 S Oak St Ste 100
Sisters, OR 97759-1589

Mailing address

160 S Oak St Ste 100
Sisters, OR 97759-1589
Phone (206) 940-5365

Other identifiers 1

IdentifierTypeStateIssuer
18188OtherORSTATE OF OREGON BOARD OF MASSAGE THERAPISTS

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Sisters

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
MA60159639WAMDMechanotherapist
18188ORMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1283385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570147200000",
    "number": "1497062004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 S OAK ST STE 100",
            "city": "SISTERS",
            "state": "OR",
            "postal_code": "977591589",
            "telephone_number": "206-940-5365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 S OAK ST STE 100",
            "city": "SISTERS",
            "state": "OR",
            "postal_code": "977591589",
            "telephone_number": "206-940-5365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORING",
        "first_name": "GREGORY",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-09-02",
        "last_updated": "2019-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "WA",
            "license": "MA60159639",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "18188",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF OREGON BOARD OF MASSAGE THERAPISTS",
            "identifier": "18188",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Sisters",
            "affiliation": "N",
            "address_1": "160 S Oak St Ste 100",
            "city": "Sisters",
            "state": "OR",
            "country_code": "US",
            "postal_code": "977591589",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sisters, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.

Verify at the official NPI Registry.