Organization Active NPI

Shifting Sands Holistic Healing LLC

  • Massage Therapist
  • Hillsboro, OR
National Provider Identifier
1558726273
Registry record updated Jan 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
8313 Issued in OR
Legal business name
SHIFTING SANDS HOLISTIC HEALING LLC
Practice address
328 W Main St Ste A100
Hillsboro, OR 97123-3985
Phone
(503) 882-8081
NPI assigned
Dec 22, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2024

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

Authorized official

Name
Maria A Montera, LMTNPI 1780855387
Title
Provider
Phone
(503) 882-8081

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X 8313 OR Primary

Addresses

Primary practice location

328 W Main St Ste A100
Hillsboro, OR 97123-3985

Mailing address

1271 SE Leander St
Hillsboro, OR 97123-5199
Phone (503) 882-8081

Other practice location 1

3220 NW 185th Ave Ste 100
Portland, OR 97229-3492
Phone (503) 882-8081

Other identifiers 1

IdentifierTypeStateIssuer
8313OtherORSTATE LICENSE

National Provider Directory

National Provider Directory

Locations

230 E Main St
Ste P
Hillsboro, OR 97123

328 W Main St
Ste A100
Hillsboro, OR 97123
Phone (503) 313-0395

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1450742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705363200000",
    "number": "1558726273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1271 SE LEANDER ST",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971235199",
            "telephone_number": "503-882-8081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 W MAIN ST STE A100",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971233985",
            "telephone_number": "503-882-8081"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3220 NW 185th Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972293492",
            "country_code": "US",
            "telephone_number": "503-882-8081",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SHIFTING SANDS HOLISTIC HEALING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-22",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A",
        "authorized_official_last_name": "MONTERA",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "503-882-8081",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "8313",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "8313",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.