Individual provider Active NPI

Shannon R Lord, LMT

  • Massage Therapist
  • Portland, OR
National Provider Identifier
1689486292
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
LMT-24918 Issued in OR
Practice address
2031 SE Belmont St
Portland, OR 97214-2812
Phone
(503) 893-2275
Fax
(971) 512-9545
NPI assigned
Jan 21, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 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 LMT-24918 OR Primary

Addresses

Primary practice location

2031 SE Belmont St
Portland, OR 97214-2812

Mailing address

2031 SE Belmont St
Portland, OR 97214-2812
Phone (503) 893-2275

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
LMT-24918ORMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Be Abundant Inc Massage Therapist Current Accepting new patients

Locations

2031 SE Belmont St
Portland, OR 97214
Phone (503) 893-2275

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": "1737417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737417600000",
    "number": "1689486292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2031 SE BELMONT ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972142812",
            "telephone_number": "503-893-2275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2031 SE BELMONT ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972142812",
            "telephone_number": "503-893-2275",
            "fax_number": "971-512-9545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LORD",
        "first_name": "SHANNON",
        "middle_name": "R",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-21",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "LMT-24918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.