Individual provider Active NPI

Samantha Romanowski, LMT

  • Massage Therapist
  • West Linn, OR
National Provider Identifier
1508336793
Registry record updated Nov 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
24708 Issued in OR
Practice address
18670 Willamette Dr Ste 102
West Linn, OR 97068-1796
Phone
(503) 635-4888
Fax
(503) 635-4424
NPI assigned
Nov 29, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2018

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 24708 OR Primary

Addresses

Primary practice location

18670 Willamette Dr Ste 102
West Linn, OR 97068-1796

Mailing address

18670 Willamette Dr Ste 102
West Linn, OR 97068-1796
Phone (503) 635-4888

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
24708ORMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1543449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543449600000",
    "number": "1508336793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18670 WILLAMETTE DR STE 102",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970681796",
            "telephone_number": "503-635-4888",
            "fax_number": "503-635-4424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18670 WILLAMETTE DR STE 102",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970681796",
            "telephone_number": "503-635-4888",
            "fax_number": "503-635-4424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMANOWSKI",
        "first_name": "SAMANTHA",
        "name_prefix": "Ms.",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-29",
        "last_updated": "2018-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "24708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Linn, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2018; 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.