Individual provider Active NPI

Michelle Rees

  • Massage Therapist
  • Portland, OR
National Provider Identifier
1538998000
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
28423 Issued in OR
Practice address
4927 NE 30TH Ave
Portland, OR 97211-7007
Phone
(503) 281-0681
NPI assigned
Jul 31, 2024
Last updated
Jul 31, 2024By the provider in NPPES
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2024

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 28423 OR Primary

Addresses

Primary practice location

4927 NE 30TH Ave
Portland, OR 97211-7007

Mailing address

3207 Q St
Vancouver, WA 98663-2924

Other practice location 1

11820 N Jantzen Dr
Portland, OR 97217-8112
Phone (619) 368-9723

Other practice location 2

2100 NE Broadway St Ste 101
Portland, OR 97232-1500
Phone (503) 287-2800

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
Credentials
Master of Theology

State licenses

LicenseStateTypeSpecialty
28423ORMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Amy Oldendorf Massage Therapist PastSince Aug 4, 2024 Accepting new patients
Michelle Reynolds PastSince Aug 4, 2024 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1722384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1538998000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3207 Q ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986632924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4927 NE 30TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972117007",
            "telephone_number": "503-281-0681"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11820 N Jantzen Dr",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972178112",
            "country_code": "US",
            "telephone_number": "619-368-9723",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2100 NE Broadway St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972321500",
            "country_code": "US",
            "telephone_number": "503-287-2800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REES",
        "first_name": "MICHELLE",
        "sole_proprietor": "YES",
        "sex": "U",
        "enumeration_date": "2024-07-31",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "28423",
            "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 Jul 31, 2024; 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.