Active NPI
Carol Ann Duncan, LMT
- Massage Therapist
- Sutherlin, OR
National Provider Identifier
1669070587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 6367
- Practice address
- 119 S Calapooia St
Sutherlin, OR 97479-8545 - Phone
- (541) 733-2810
- NPI assigned
- Oct 13, 2020
- 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 | 6367 | OR | Primary |
Addresses
Primary practice location
119 S Calapooia St
Sutherlin, OR 97479-8545
Mailing address
2179 Azalea Dr
Elkton, OR 97436-9726
Phone (541) 733-2810
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 |
|---|---|---|---|
| 6367 | OR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Massage Central LLC | Massage Therapist | Current | Accepting new patients |
Locations
119 S Calapooia St
Sutherlin, OR 97479
Phone (541) 733-2810
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
- Sutherlin, OR
- NPI 1548868466
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602547200000",
"number": "1669070587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2179 AZALEA DR",
"city": "ELKTON",
"state": "OR",
"postal_code": "974369726",
"telephone_number": "541-733-2810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 S CALAPOOIA ST",
"city": "SUTHERLIN",
"state": "OR",
"postal_code": "974798545",
"telephone_number": "541-733-2810"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNCAN",
"first_name": "CAROL",
"middle_name": "ANN",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-13",
"last_updated": "2020-10-13",
"certification_date": "2020-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OR",
"license": "6367",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sutherlin, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.