Active NPI
Kathleen Drew
- Massage Therapist
- Bend, OR
National Provider Identifier
1609556778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 24112
- Practice address
- 447 NE Greenwood Ave
Bend, OR 97701-4607 - Phone
- (541) 213-0933
- NPI assigned
- Jul 24, 2023
- Last updated
- Jul 24, 2023
- Sex
- Female
- 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 | 24112 | OR | Primary |
Addresses
Primary practice location
447 NE Greenwood Ave
Bend, OR 97701-4607
Mailing address
PO Box 1596
Bend, OR 97709-1596
Phone (541) 410-3241
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 |
|---|---|---|---|
| 24112 | OR | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Earth Body Massage | Massage Therapist | Current | Accepting new patients |
Locations
447 NE Greenwood Ave
Bend, OR 97701
Phone (541) 213-0933
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": "1690156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690156800000",
"number": "1609556778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1596",
"city": "BEND",
"state": "OR",
"postal_code": "977091596",
"telephone_number": "541-410-3241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "447 NE GREENWOOD AVE",
"city": "BEND",
"state": "OR",
"postal_code": "977014607",
"telephone_number": "541-213-0933"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DREW",
"first_name": "KATHLEEN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-07-24",
"last_updated": "2023-07-24",
"certification_date": "2023-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OR",
"license": "24112",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bend, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.