Individual provider Active NPI

Ramona P Diprofio, LMT

  • Massage Therapist
  • Clackamas, OR
National Provider Identifier
1619290350
Registry record updated Jun 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
14979 Issued in OR
Practice address
10802 SE Highway 212
Clackamas, OR 97015-9165
Phone
(503) 453-7218
NPI assigned
Mar 9, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2022

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 14979 OR Primary

Addresses

Primary practice location

10802 SE Highway 212
Clackamas, OR 97015-9165

Mailing address

10802 SE Highway 212
Clackamas, OR 97015-9165
Phone (503) 453-7218

Other practice location 1

22000 Willamette Dr
#107
West Linn, OR 97068-3275
Phone (503) 722-8888

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
Credentials
Master of Theology

State licenses

LicenseStateTypeSpecialty
14979ORMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Elements Therapeutic Massage 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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1268092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654214400000",
    "number": "1619290350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10802 SE HIGHWAY 212",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970159165",
            "telephone_number": "503-453-7218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10802 SE HIGHWAY 212",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970159165",
            "telephone_number": "503-453-7218"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22000 Willamette Dr",
            "address_2": "#107",
            "address_purpose": "LOCATION",
            "city": "West Linn",
            "state": "OR",
            "postal_code": "970683275",
            "country_code": "US",
            "telephone_number": "503-722-8888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIPROFIO",
        "first_name": "RAMONA",
        "middle_name": "P",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-09",
        "last_updated": "2022-06-03",
        "certification_date": "2022-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "14979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clackamas, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2022; 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.