Individual provider Active NPI

Luke Galeotti

  • Massage Therapist
  • Portland, OR
National Provider Identifier
1699400150
Registry record updated May 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
26353 Issued in OR
Practice address
1301 NE Alberta St
Portland, OR 97211-5005
Phone
(564) 218-3160
NPI assigned
Jul 19, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2024

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 26353 OR Primary

Addresses

Primary practice location

1301 NE Alberta St
Portland, OR 97211-5005

Mailing address

1819 SW 5TH Ave # 274
Portland, OR 97201-5277
Phone (360) 601-6824

Other practice location 1

5253 NE Sandy Blvd
Portland, OR 97213-2562
Phone (503) 766-4881

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
26353ORMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Active Injury Rehab, LLC Massage Therapist CurrentSince Feb 4, 2024 Accepting new patients
Healing Rose LLC Massage Therapist CurrentSince Jun 2, 2024 Accepting new patients

Locations

1301 NE Alberta St
Portland, OR 97211
Phone (360) 991-1624

1819 SW 5th Ave
Portland, OR 97201
Phone (503) 389-8863

5253 NE Sandy Blvd
Portland, OR 97213
Phone (503) 766-4881

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": "1658188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717113600000",
    "number": "1699400150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1819 SW 5TH AVE # 274",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972015277",
            "telephone_number": "360-601-6824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 NE ALBERTA ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972115005",
            "telephone_number": "564-218-3160"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5253 NE Sandy Blvd",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972132562",
            "country_code": "US",
            "telephone_number": "503-766-4881",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GALEOTTI",
        "first_name": "LUKE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-19",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "26353",
            "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 May 31, 2024; 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.