Amanda Hale, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

20034 Issued in OR

Practice address

3564 Lone Pine Rd
Medford, OR 97504-5637

Phone

(541) 840-6200

Fax

(541) 973-2225

NPI assigned

Feb 26, 2016

Last updated

Dec 22, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Amanda Dalton Former name

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.

• Alevia Physical Therapy LLC

  dba Alevia Physical Therapy

  • Physical Therapist
  • Medford, OR
  • NPI 1679959571
  NPD (past)

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

{
    "created_epoch": "1456444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608595200000",
    "number": "1689034159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3343 ALAMEDA ST",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975049635",
            "telephone_number": "541-840-6200",
            "fax_number": "541-973-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3564 LONE PINE RD",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975045637",
            "telephone_number": "541-840-6200",
            "fax_number": "541-973-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALE",
        "first_name": "AMANDA",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-26",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "20034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "DALTON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jennifer Haire
• Nicole Christine Hakenson, PA-C
• Shana Kay Hakes
• Joelle Hakoum
• Aina May Hale, RN
• Brent Hale, DDS
• Tracy L Haley, MD
• Landwyn E Hall-Ritchie
• Jennifer Irene Hall-Worsham
• Brian Edwards Hall, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 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.

Verify at the official NPI Registry.