Active NPI
Phillip L Hickey, LMT
- Massage Therapist
- Hermiston, OR
National Provider Identifier
1528259504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 7865
- Practice address
- 1000 S Highway 395 Ste A148
Hermiston, OR 97838-2695 - Phone
- (541) 910-0364
- NPI assigned
- Aug 6, 2007
- 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 | 7865 | OR | Primary |
Addresses
Primary practice location
1000 S Highway 395 Ste A148
Hermiston, OR 97838-2695
Mailing address
1000 S Highway 395 Ste A148
Hermiston, OR 97838-2695
Phone (541) 910-0364
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 |
|---|---|---|---|
| 7865 | OR | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1338854400000",
"number": "1528259504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 S HIGHWAY 395 STE A148",
"city": "HERMISTON",
"state": "OR",
"postal_code": "978382695",
"telephone_number": "541-910-0364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 S HIGHWAY 395 STE A148",
"city": "HERMISTON",
"state": "OR",
"postal_code": "978382695",
"telephone_number": "541-910-0364"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HICKEY",
"first_name": "PHILLIP",
"middle_name": "L",
"name_prefix": "Mr.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-08-06",
"last_updated": "2012-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OR",
"license": "7865",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hermiston, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.