Individual provider Active NPI

Karen Ruby Chiechi, LMT

  • Massage Therapist
  • Bend, OR
National Provider Identifier
1689390064
Registry record updated Oct 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
18748 Issued in OR
Practice address
61190 Benham Rd
Bend, OR 97702-2696
Phone
(541) 912-4871
NPI assigned
Oct 17, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2022

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 18748 OR Primary

Addresses

Primary practice location

61190 Benham Rd
Bend, OR 97702-2696

Mailing address

61190 Benham Rd
Bend, OR 97702-2696
Phone (541) 912-4871

Other practice location 1

330 NE Marshall Ave
Bend, OR 97701-4346
Phone (541) 912-4871

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
18748ORMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy Works, Inc CurrentSince Apr 24, 2013 Accepting new patients
Physical Therapy Works, Inc CurrentSince Apr 9, 2024 Accepting new patients

Locations

330 NE Marshall Ave
Bend, OR 97701
Phone (541) 383-8179

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": "1665964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665964800000",
    "number": "1689390064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61190 BENHAM RD",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977022696",
            "telephone_number": "541-912-4871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61190 BENHAM RD",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977022696",
            "telephone_number": "541-912-4871"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "330 NE Marshall Ave",
            "address_purpose": "LOCATION",
            "city": "Bend",
            "state": "OR",
            "postal_code": "977014346",
            "country_code": "US",
            "telephone_number": "541-912-4871",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHIECHI",
        "first_name": "KAREN",
        "middle_name": "RUBY",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-17",
        "last_updated": "2022-10-17",
        "certification_date": "2022-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "18748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2022; 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.