Individual provider Active NPI

Alexandra Lesia Tereszczenko, LMT

  • Massage Therapist
  • Portland, OR
National Provider Identifier
1518624485
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
26402 Issued in OR
Practice address
1730 SW Skyline Blvd Ste 126
Portland, OR 97221-2548
Phone
(503) 503-8505
Fax
(503) 972-2275
NPI assigned
Nov 26, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

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 26402 OR Primary

Addresses

Primary practice location

1730 SW Skyline Blvd Ste 126
Portland, OR 97221-2548

Mailing address

2188 SW Park PL Ste 10
Portland, OR 97205-1100
Phone (503) 568-1390

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
26402ORMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Truly Rooted LLC Massage Therapist Current Accepting new patients
Performance Bodywork LLC Massage Therapist PastSince Nov 1, 2021 Accepting new patients

Locations

1730 SW Skyline Blvd
Ste 126
Portland, OR 97221
Phone (503) 503-8505

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": "1637884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776816000000",
    "number": "1518624485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2188 SW PARK PL STE 10",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972051100",
            "telephone_number": "503-568-1390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 SW SKYLINE BLVD STE 126",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972212548",
            "telephone_number": "503-503-8505",
            "fax_number": "503-972-2275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERESZCZENKO",
        "first_name": "ALEXANDRA",
        "middle_name": "LESIA",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-26",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "26402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2026; 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.