Individual provider Active NPI

Makenzie Maurice, LMT

  • Massage Therapist
  • Sherwood, OR
National Provider Identifier
1669089579
Registry record updated Feb 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
023425 Issued in OR
Practice address
22566 SW Washington St Ste 212
Sherwood, OR 97140-7923
Phone
(503) 884-3246
NPI assigned
Sep 24, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 023425 OR Primary

Addresses

Primary practice location

22566 SW Washington St Ste 212
Sherwood, OR 97140-7923

Mailing address

22566 SW Washington St Ste 212
Sherwood, OR 97140-7923
Phone (503) 884-3246

Other identifiers 1

IdentifierTypeStateIssuer
023425OtherLMT

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL sunrisestretch.org/ Direct

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

LicenseStateTypeSpecialty
023425ORMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Makenzie Maurice Massage Therapist CurrentSince Oct 5, 2021 Accepting new patients

Locations

22566 SW Washington St
Ste 211
Sherwood, OR 97140
Phone (503) 407-6634

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.

NPI Registry JSON

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

{
    "created_epoch": "1600905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772150400000",
    "number": "1669089579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22566 SW WASHINGTON ST STE 212",
            "city": "SHERWOOD",
            "state": "OR",
            "postal_code": "971407923",
            "telephone_number": "503-884-3246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22566 SW WASHINGTON ST STE 212",
            "city": "SHERWOOD",
            "state": "OR",
            "postal_code": "971407923",
            "telephone_number": "503-884-3246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAURICE",
        "first_name": "MAKENZIE",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-24",
        "last_updated": "2026-02-27",
        "certification_date": "2026-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "023425",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LMT",
            "identifier": "023425",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "sunrisestretch.org/",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "DIRECT MAILING",
            "address_1": "22299 SW Dewey Dr",
            "city": "Sherwood",
            "state": "OR",
            "country_code": "US",
            "postal_code": "971408256",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sherwood, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2026; 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.