Individual provider Active NPI

Mary Ann Mendez, LMT

  • Massage Therapist
  • Beaverton, OR
National Provider Identifier
1669260428
Registry record updated Nov 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
28819 Issued in OR
Practice address
3863 SW Hall Blvd Ste B
Beaverton, OR 97005-2042
Phone
(206) 877-3663
NPI assigned
Apr 30, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2025

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 28819 OR Primary

Addresses

Primary practice location

3863 SW Hall Blvd Ste B
Beaverton, OR 97005-2042

Mailing address

3863 SW Hall Blvd Ste B
Beaverton, OR 97005-2042
Phone (206) 877-3663

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
28819ORMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Ann Mendez Massage Therapist Current Accepting new patients
Marcotte Studio One Massage Therapist PastSince May 4, 2025 Accepting new patients

Locations

3863 SW Hall Blvd
Ste B
Beaverton, OR 97005
Phone (503) 208-4638

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.

NPI Registry JSON

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

{
    "created_epoch": "1745971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763078400000",
    "number": "1669260428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3863 SW HALL BLVD STE B",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970052042",
            "telephone_number": "206-877-3663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3863 SW HALL BLVD STE B",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970052042",
            "telephone_number": "206-877-3663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDEZ",
        "first_name": "MARY ANN",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-30",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "28819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2025; 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.