Active NPI
Kathryn Mary Overby, LMT
- Massage Therapist
- Wilsonville, OR
National Provider Identifier
1619248218
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 5303
- Practice address
- 29781 SW Town Center Loop W
Wilsonville, OR 97070-8806 - Phone
- (503) 680-9457
- NPI assigned
- Jan 13, 2012
- Last updated
- Feb 25, 2015
- Sex
- Female
- 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 | 5303 | OR | Primary |
Addresses
Primary practice location
29781 SW Town Center Loop W
Wilsonville, OR 97070-8806
Mailing address
PO Box 1172
Wilsonville, OR 97070-1172
Phone (503) 680-9457
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 |
|---|---|---|---|
| 5303 | OR | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| River Sage Massage LLC | Massage Therapist | 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.
-
- Massage Therapist
- Wilsonville, OR
- NPI 1760879647
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424822400000",
"number": "1619248218",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1172",
"city": "WILSONVILLE",
"state": "OR",
"postal_code": "970701172",
"telephone_number": "503-680-9457"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29781 SW TOWN CENTER LOOP W",
"city": "WILSONVILLE",
"state": "OR",
"postal_code": "970708806",
"telephone_number": "503-680-9457"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OVERBY",
"first_name": "KATHRYN",
"middle_name": "MARY",
"name_prefix": "Ms.",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-01-13",
"last_updated": "2015-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OR",
"license": "5303",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilsonville, OR
- Oregon CVS Pharmacy LLC (CVS Pharmacy #16967)
- Oregon Department of Corrections
- Oregon Regeneration Stem Cell Medical Center, LLC
- Oregon Sports Medicine Associates (Sports Medicine Oregon)
- Emmalyn Grace Pangindian Ortiz, PT, DPT
- Krystin Brackett Overstreet, CCC-SLP
- Karen Darlene Owens, P.T.
- Pacific Eye Group, PC
- Alexander Douglas Packham, LMT
- Karen N Paez, PH.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.