Active NPI
Therese Holliday, LMT, CCA
- Massage Therapist
- Medford, OR
National Provider Identifier
1699052001
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 18016
- Practice address
- 2596 E Barnett Rd Ste B
Medford, OR 97504 - Phone
- (541) 727-1996
- Fax
- (888) 247-8610
- NPI assigned
- Nov 14, 2011
- 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 | 18016 | OR | Primary |
Addresses
Primary practice location
2596 E Barnett Rd Ste B
Medford, OR 97504
Mailing address
2640 E Barnett Rd # E-125
Medford, OR 97504-4301
Phone (541) 727-1996
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 |
|---|---|---|---|
| 18016 | OR | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rogue Health LLC | Massage Therapist | Past | Accepting new patients |
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": "1321228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531958400000",
"number": "1699052001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2640 E BARNETT RD # E-125",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975044301",
"telephone_number": "541-727-1996",
"fax_number": "888-247-8610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2596 E BARNETT RD STE B",
"city": "MEDFORD",
"state": "OR",
"postal_code": "97504",
"telephone_number": "541-727-1996",
"fax_number": "888-247-8610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLIDAY",
"first_name": "THERESE",
"credential": "LMT, CCA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-14",
"last_updated": "2018-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OR",
"license": "18016",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Medford, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.