Kellyn Rost, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

27560 Issued in OR

Practice address

35 W 8TH Ave
Eugene, OR 97401-2901

Phone

(541) 686-4461

NPI assigned

Feb 6, 2023

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1675641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675641600000",
    "number": "1619673290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 W 10TH AVE APT 1",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 W 8TH AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012901",
            "telephone_number": "541-686-4461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROST",
        "first_name": "KELLYN",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-02-06",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "27560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rich Ross, D.C.
• Tracie Ross, APRN
• Casey Rossberg, OTR/L
• Julie Mathey Rossberg, LMT
• Aubrey Lurlyne Rossi, MS
• Jenna Rotach
• Amelia Bogart Roth, M.D.
• Debra Roth, PA-C
• John R Roth, MPAS, PA-C
• Roberta Roth, LCSW

• Massage Therapist in Eugene, OR
• Providers in Eugene, OR by specialty
• Massage Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.

Verify at the official NPI Registry.