Active NPI
Jeremy J Hansen
- Massage Therapist
- Eugene, OR
National Provider Identifier
1588493670
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 27914
- Practice address
- 143 Madison St Ste B
Eugene, OR 97402-5028 - Phone
- (458) 910-7069
- NPI assigned
- Jul 29, 2024
- Last updated
- Jul 29, 2024
- Sex
- Male
- Sole proprietor
- No
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 | 27914 | OR | Primary |
Addresses
Primary practice location
143 Madison St Ste B
Eugene, OR 97402-5028
Mailing address
25022 McCutcheon Ave
Veneta, OR 97487-9573
Phone (541) 606-4132
Other practice location 1
1375 Pearl St
Eugene, OR 97401-3523
Phone (154) 168-3337
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 |
|---|---|---|---|
| 27914 | OR | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nvision Movement LLC | Massage Therapist | Current | Accepting new patients |
Locations
143 Madison St
Ste B
Eugene, OR 97402
Phone (458) 910-7069
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": "1722211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722211200000",
"number": "1588493670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25022 MCCUTCHEON AVE",
"city": "VENETA",
"state": "OR",
"postal_code": "974879573",
"telephone_number": "541-606-4132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "143 MADISON ST STE B",
"city": "EUGENE",
"state": "OR",
"postal_code": "974025028",
"telephone_number": "458-910-7069"
}
],
"practiceLocations": [
{
"address_1": "1375 Pearl St",
"address_purpose": "LOCATION",
"city": "Eugene",
"state": "OR",
"postal_code": "974013523",
"country_code": "US",
"telephone_number": "154-168-3337",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HANSEN",
"first_name": "JEREMY",
"middle_name": "J",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-07-29",
"last_updated": "2024-07-29",
"certification_date": "2024-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OR",
"license": "27914",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eugene, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.