Active NPI
Shannon R Lord, LMT
- Massage Therapist
- Portland, OR
National Provider Identifier
1689486292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- LMT-24918
- Practice address
- 2031 SE Belmont St
Portland, OR 97214-2812 - Phone
- (503) 893-2275
- Fax
- (971) 512-9545
- NPI assigned
- Jan 21, 2025
- Last updated
- Jan 21, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| LMT-24918 | OR | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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.