Individual provider Active NPI

Rebecca Medearis, LMT

  • Massage Therapist
  • Hillsboro, OR
National Provider Identifier
1497549018
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
28912 Issued in OR
Practice address
5035 NE Elam Young Pkwy Ste 300
Hillsboro, OR 97124-6489
Phone
(503) 626-3700
NPI assigned
Apr 8, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

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 28912 OR Primary

Addresses

Primary practice location

5035 NE Elam Young Pkwy Ste 300
Hillsboro, OR 97124-6489

Mailing address

31270 NW Turel Dr
North Plains, OR 97133-8261
Phone (503) 964-4840

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
28912ORMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ad Chiropractic LLC CurrentSince Apr 13, 2025 Accepting new patients
Cornelius Chiropractic LLC PastSince Apr 13, 2025 Accepting new patients

Locations

5035 NE Elam Young Pkwy
Ste 300
Hillsboro, OR 97124
Phone (503) 626-3700

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1744070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1497549018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31270 NW TUREL DR",
            "city": "NORTH PLAINS",
            "state": "OR",
            "postal_code": "971338261",
            "telephone_number": "503-964-4840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5035 NE ELAM YOUNG PKWY STE 300",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971246489",
            "telephone_number": "503-626-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDEARIS",
        "first_name": "REBECCA",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-08",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "28912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2025; 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.