Organization Active NPI

Natural Escape LLC

  • Massage Therapist
  • Klamath Falls, OR
National Provider Identifier
1669884136
Registry record updated Jun 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
5485 Issued in OR
Legal business name
NATURAL ESCAPE LLC
Practice address
1235 Hilton Dr
Klamath Falls, OR 97603-5254
Phone
(541) 281-9530
NPI assigned
Jun 2, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2014

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

Authorized official

Name
Mr. Shaun Thomas Cooper, LMTNPI 1225440795
Title
Owner/Provider
Phone
(541) 281-9530

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X 5485 OR Primary

Addresses

Primary practice location

1235 Hilton Dr
Klamath Falls, OR 97603-5254

Mailing address

1235 Hilton Dr
Klamath Falls, OR 97603-5254
Phone (541) 281-9530

Other identifiers 1

IdentifierTypeStateIssuer
5485OtherORLMT NUMBER

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1401667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401667200000",
    "number": "1669884136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1235 HILTON DR",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976035254",
            "telephone_number": "541-281-9530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 HILTON DR",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976035254",
            "telephone_number": "541-281-9530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATURAL ESCAPE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-02",
        "last_updated": "2014-06-02",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "SHAUN",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "541-281-9530",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "5485",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LMT NUMBER",
            "identifier": "5485",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Klamath Falls, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2014; 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.