Active NPI
Blanka Nyvlt, LMT
- Mechanotherapist
- Tigard, OR
National Provider Identifier
1649456203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mechanotherapist
- License
- 11749
- Practice address
- 7357 SW Beveland Rd
Suite 200
Tigard, OR 97223-8844 - Phone
- (503) 670-4941
- Fax
- (503) 670-4954
- NPI assigned
- Jan 14, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mechanotherapist | 172M00000X | 11749 | OR | Primary |
Addresses
Primary practice location
7357 SW Beveland Rd
Suite 200
Tigard, OR 97223-8844
Mailing address
4629 Lakeview Blvd
Lake Oswego, OR 97035-5453
Phone (503) 803-6671
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 |
|---|---|---|---|
| 11749 | OR | MD | Mechanotherapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Solluna Medicine | Past | Accepting new patients | |
| Hummingbird Hill Naturopathic, LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Naturopath
- Sherwood, OR
- NPI 1336390921
-
- Naturopath
- Tigard, OR
- NPI 1760640049
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203379200000",
"number": "1649456203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4629 LAKEVIEW BLVD",
"city": "LAKE OSWEGO",
"state": "OR",
"postal_code": "970355453",
"telephone_number": "503-803-6671",
"fax_number": "503-670-4954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7357 SW BEVELAND RD",
"address_2": "SUITE 200",
"city": "TIGARD",
"state": "OR",
"postal_code": "972238844",
"telephone_number": "503-670-4941",
"fax_number": "503-670-4954"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NYVLT",
"first_name": "BLANKA",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-01-14",
"last_updated": "2008-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "172M00000X",
"taxonomy_group": "",
"desc": "Mechanotherapist",
"state": "OR",
"license": "11749",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tigard, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.