Active NPI
Robert Lay, L.M.T
- Massage Therapist
- Gresham, OR
National Provider Identifier
1578847075
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 17446
- Practice address
- 1717 SE Orient Dr
129
Gresham, OR 97080-7278 - Phone
- (503) 995-1912
- NPI assigned
- Oct 3, 2011
- 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 | 17446 | OR | Primary |
Addresses
Primary practice location
1717 SE Orient Dr
129
Gresham, OR 97080-7278
Mailing address
1717 SE Orient Dr
129
Gresham, OR 97080-7278
Phone (503) 995-1912
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 |
|---|---|---|---|
| 17446 | OR | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459728000000",
"number": "1578847075",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1717 SE ORIENT DR",
"address_2": "129",
"city": "GRESHAM",
"state": "OR",
"postal_code": "970807278",
"telephone_number": "503-995-1912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1717 SE ORIENT DR",
"address_2": "129",
"city": "GRESHAM",
"state": "OR",
"postal_code": "970807278",
"telephone_number": "503-995-1912"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAY",
"first_name": "ROBERT",
"name_prefix": "Mr.",
"credential": "L.M.T",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-10-03",
"last_updated": "2016-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OR",
"license": "17446",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Apr 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.