Active NPI
Jennifer Pumpelly, MASSAGE THERAPIST
- Massage Therapist
- Sherwood, OR
National Provider Identifier
1497950034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 12000
- Practice address
- 22595 SW Pine St
Sherwood, OR 97140-9408 - Phone
- (971) 732-6470
- NPI assigned
- Jun 15, 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 | 12000 | OR | Primary |
Addresses
Primary practice location
22595 SW Pine St
Sherwood, OR 97140-9408
Mailing address
17872 SW Dodson Dr
Sherwood, OR 97140-8239
Phone (503) 625-6291
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
- Credentials
- Master of Theology
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12000 | OR | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cynthia Gulick, PC | Past | Accepting new patients | |
| My Other Me | 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 and National Provider Directory roles.
-
- Family Medicine Physician
- Tigard, OR
- NPI 1467675009
-
- Gynecology Physician
- Portland, OR
- NPI 1801462080
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497950034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17872 SW DODSON DR",
"city": "SHERWOOD",
"state": "OR",
"postal_code": "971408239",
"telephone_number": "503-625-6291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22595 SW PINE ST",
"city": "SHERWOOD",
"state": "OR",
"postal_code": "971409408",
"telephone_number": "971-732-6470"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUMPELLY",
"first_name": "JENNIFER",
"name_prefix": "Mrs.",
"credential": "MASSAGE THERAPIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OR",
"license": "12000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sherwood, OR
- Dominic Richard Prime, PHD
- Progress Dental LLC
- Providence Health & Services - Oregon
- Providence Health & Services - Oregon
- Providence Health & Services-Oregon Newberg Medical Center
- Thomas Louis Ratliff, DDS
- Renal Treatment Centers West Inc
- Christina Rendel
- Katie Rexroat, BCBA, LBA
- Jade Rey, MA, BCBA, LBA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.