Arianna Shalyn Terry, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

23333 Issued in OR

Practice address

914 SW 11TH Ave
Portland, OR 97205-2001

Phone

(503) 765-5333

NPI assigned

Sep 5, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Revivanation LLC

  • Massage Therapist
  • Portland, OR
  • NPI 1629490388
  NPD (past)

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

{
    "created_epoch": "1536105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536105600000",
    "number": "1508348764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9336 N PIER PARK PL APT B",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972031097",
            "telephone_number": "503-508-8773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "914 SW 11TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052001",
            "telephone_number": "503-765-5333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRY",
        "first_name": "ARIANNA",
        "middle_name": "SHALYN",
        "name_prefix": "Ms.",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-05",
        "last_updated": "2018-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "23333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terry L Isom DMD,PC
• Terry P Tobin OD PC
• Terry Ycasas, DC, LLC
• Ayla Terry-Mitchell, LCSW
• Annie Birthe Terry, MD
• Brooke Terry, MS, LPC
• Mark A Terry, MD
• Morgan Terry, MD
• Nicole Terry
• Theresa Terry, PHARM.D.

• Massage Therapist in Portland, OR
• Providers in Portland, OR by specialty
• Massage Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.