Amanda Rose Taddeo, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

26799 Issued in OR

Practice address

2304 E Burnside St
Portland, OR 97214-1677

Phone

(267) 235-0060

NPI assigned

Mar 11, 2022

Last updated

Mar 11, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jessica Blaylock Dba Fusion Bodyworks PDX

  • Massage Therapist
  • Portland, OR
  • NPI 1376296467
  NPD (past)

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

{
    "created_epoch": "1646956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646956800000",
    "number": "1649928391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6234 NE ROSELAWN ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972183027",
            "telephone_number": "267-235-0060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2304 E BURNSIDE ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972141677",
            "telephone_number": "267-235-0060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "909 N Beech St Unit 209",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972271260",
            "country_code": "US",
            "telephone_number": "503-281-8989",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TADDEO",
        "first_name": "AMANDA",
        "middle_name": "ROSE",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-11",
        "last_updated": "2022-03-11",
        "certification_date": "2022-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "26799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tabor Pediatric Physical Therapy LLC
• Tabor View Health and Wellness
• Katherine Ann Tacker, M.D.
• Camille Tackett, PHARMD.
• Tactus Massage Therapies
• Sandra E. Taddesse, L.A.C.
• Simegn Getachew Tadese
• Hunter Tadlock, DC
• Julia Tafea
• Anna Maria Taff

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.