Active NPI
Scott Maclowry
- Massage Therapist
- Bend, OR
National Provider Identifier
1508043035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 13985
- Practice address
- 1558 SW Nancy Way Ste 103
Bend, OR 97702-3216 - Phone
- (503) 956-4114
- NPI assigned
- Jan 28, 2008
- Sex
- Male
- 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 | 13985 | OR | Primary |
Addresses
Primary practice location
1558 SW Nancy Way Ste 103
Bend, OR 97702-3216
Mailing address
1951 NW Newport Hills Dr
Bend, OR 97701-1469
Phone (503) 956-4114
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 |
|---|---|---|---|
| 13985 | OR | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1362960000000",
"number": "1508043035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1951 NW NEWPORT HILLS DR",
"city": "BEND",
"state": "OR",
"postal_code": "977011469",
"telephone_number": "503-956-4114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1558 SW NANCY WAY STE 103",
"city": "BEND",
"state": "OR",
"postal_code": "977023216",
"telephone_number": "503-956-4114"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACLOWRY",
"first_name": "SCOTT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-01-28",
"last_updated": "2013-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OR",
"license": "13985",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bend, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.