Susan Kathleen Phelps

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

24271 Issued in OR

Practice address

2660 Hillcrest Rd
Medford, OR 97504-6926

Phone

(541) 218-1628

NPI assigned

Jun 8, 2020

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Ashland Institute of Massage Inc

  • Massage Therapist
  • Ashland, OR
  • NPI 1295491751

  Single Specialty

  NPD

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

{
    "created_epoch": "1591574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686096000000",
    "number": "1699390435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 FAIRWAY CIR",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975047744",
            "telephone_number": "541-181-6282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2660 HILLCREST RD",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975046926",
            "telephone_number": "541-218-1628"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "280 E. Hersey St.",
            "address_2": "Suite B17",
            "address_purpose": "LOCATION",
            "city": "Ashland",
            "state": "OR",
            "postal_code": "97520",
            "country_code": "US",
            "telephone_number": "541-482-5134",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHELPS",
        "first_name": "SUSAN",
        "middle_name": "KATHLEEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-08",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "24271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tieu-Van P Phan, PHARMD
• Pharmblue Oregon LLC
• Linda S Phegley-Payne, NP
• Patrick Joseph Phelan, M.D.
• Mark Haislip Phelps, M.D.
• Philip Paden Eye Care Center M D
• Philip Y Paden Eye Care Optical
• Peggy Philips
• Cameron James Phillips, MD
• Elijah Phillips, PA-C

• 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 Jun 7, 2023; 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.