Individual provider Active NPI

Courtney McEldowney, L.M.T

  • Massage Therapist
  • Gresham, OR
National Provider Identifier
1558767012
Registry record updated Nov 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
17060 Issued in OR
Practice address
23440 SE Stark St
Gresham, OR 97030-2961
Phone
(503) 489-6245
Fax
(503) 489-0552
NPI assigned
Nov 11, 2014
Last updated
Nov 11, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2014

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 17060 OR Primary

Addresses

Primary practice location

23440 SE Stark St
Gresham, OR 97030-2961

Mailing address

23440 SE Stark St
Gresham, OR 97030-2961
Phone (503) 489-6245

Other names 1

  • Courtney Rae Goss Professional name

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
17060ORMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Health Care Dba Elite Chiropractic and Wellness Center Past Accepting new patients

Organizations & group practices 1

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": "1415664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415664000000",
    "number": "1558767012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23440 SE STARK ST",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970302961",
            "telephone_number": "503-489-6245",
            "fax_number": "503-489-0552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23440 SE STARK ST",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970302961",
            "telephone_number": "503-489-6245",
            "fax_number": "503-489-0552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCELDOWNEY",
        "first_name": "COURTNEY",
        "credential": "L.M.T",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-11",
        "last_updated": "2014-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "17060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "GOSS",
            "middle_name": "RAE",
            "credential": "L.M.T",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Gresham, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2014; 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.