Active NPI
Sherikha Chermaine Lewis, LMT, ND
- Massage Therapist
- Lake Oswego, OR
National Provider Identifier
1629634019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 23605
- Practice address
- 16088 Boones Ferry Rd Ste B
Lake Oswego, OR 97035-4370 - Phone
- (503) 376-6928
- NPI assigned
- May 12, 2019
- 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 | 23605 | OR | Primary |
Addresses
Primary practice location
16088 Boones Ferry Rd Ste B
Lake Oswego, OR 97035-4370
Mailing address
2470 NE Doncaster LN
Hillsboro, OR 97124-9047
Phone (340) 514-0899
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 23605 | Other | OR | LMT LICENSE NUMBER |
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 |
|---|---|---|---|
| 23605 | OR | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Zen Garden Massage & Spa | 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.
-
- Massage Therapist
- Lake Oswego, OR
- NPI 1881059988
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557619200000",
"number": "1629634019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2470 NE DONCASTER LN",
"city": "HILLSBORO",
"state": "OR",
"postal_code": "971249047",
"telephone_number": "340-514-0899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16088 BOONES FERRY RD STE B",
"city": "LAKE OSWEGO",
"state": "OR",
"postal_code": "970354370",
"telephone_number": "503-376-6928"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "SHERIKHA",
"middle_name": "CHERMAINE",
"name_prefix": "Ms.",
"credential": "LMT, ND",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-12",
"last_updated": "2019-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OR",
"license": "23605",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LMT LICENSE NUMBER",
"identifier": "23605",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lake Oswego, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.