Janice Modesitt LMT

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

1045 Issued in OR

Legal business name

JANICE MODESITT LMT

Practice address

16463 Boones Ferry Rd
Ste. 100
Lake Oswego, OR 97035-4259

Phone

(503) 699-2955

NPI assigned

May 14, 2012

Last updated

May 14, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Janice Carole Modesitt, L.M.T.NPI 1992841555

Title

Licensed Massage Therapist

Phone

(503) 699-2955

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Janice Carole Modesitt, L.M.T.

  • Specialist
  • Lake Oswego, OR
  • NPI 1992841555
  Authorized official Same address or phone

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

{
    "created_epoch": "1336953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336953600000",
    "number": "1639438419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16463 BOONES FERRY RD",
            "address_2": "STE. 100",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970354259",
            "telephone_number": "503-699-2955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16463 BOONES FERRY RD",
            "address_2": "STE. 100",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970354259",
            "telephone_number": "503-699-2955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANICE MODESITT LMT",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-14",
        "last_updated": "2012-05-14",
        "status": "A",
        "authorized_official_last_name": "MODESITT",
        "authorized_official_first_name": "JANICE",
        "authorized_official_middle_name": "CAROLE",
        "authorized_official_title_or_position": "LICENSED MASSAGE THERAPIST",
        "authorized_official_telephone_number": "503-699-2955",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "L.M.T."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "OR",
            "license": "1045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• J M Bussanich, LLC (Westlake Chiropractic)
• Ali Nicole Jackson
• Donna Lianne Jackson, PT
• Alexander Matthew Andrew Jameson, LMT
• Janice M. Johnson Counseling
• Mark Stephen Jardini, MD
• Alexis Jarmer
• Corinne Jarvis, M.S., CCC-SLP
• Kevin Allen Jarvis, D.P.T
• Anika Lee Jatho

• Clinic/Center in Lake Oswego, OR
• Providers in Lake Oswego, OR by specialty
• Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2012; 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.