Lilah Zicatela Perry, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

12011 Issued in OR

Practice address

1221 SE Madison St
Portland, OR 97214-3890

Phone

(503) 445-7767

Fax

(503) 459-4221

NPI assigned

Mar 10, 2010

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

Other names 1

• Mrs. Lilah Zicatela Wallach Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1268179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268265600000",
    "number": "1700109352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1116 SE LINN ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972027095",
            "telephone_number": "503-730-9308",
            "fax_number": "503-459-4221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 SE MADISON ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972143890",
            "telephone_number": "503-445-7767",
            "fax_number": "503-459-4221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "LILAH",
        "middle_name": "ZICATELA",
        "name_prefix": "Mrs.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-10",
        "last_updated": "2010-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "12011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LILAH",
            "last_name": "WALLACH",
            "middle_name": "ZICATELA",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Cynthia K. Perry, PHD, FNP
• David L Perry, M.D.
• Denbigh Nicole Sockpealuk Perry, QMHA-R
• Jacob Perry, MA
• Jacquelin Perry
• Lionel Perry
• Lucas Charles Perry
• Madison Marie Perry
• Melissa Christine Perry
• Michelle Laddette Perry

• Massage Therapist in Portland, OR
• Providers in Portland, OR by specialty
• Massage Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2010; 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.