Active NPI
Tiffany Corbett
- Massage Therapist
- Portland, OR
National Provider Identifier
1720538259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 22051
- Practice address
- 2505 SW Spring Garden St Ste 100
Portland, OR 97219-3966 - Phone
- (503) 841-6222
- NPI assigned
- Oct 7, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 | 22051 | OR | Primary |
Addresses
Primary practice location
2505 SW Spring Garden St Ste 100
Portland, OR 97219-3966
Mailing address
16250 Pacific Hwy Unit 66
Lake Oswego, OR 97034-4022
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapia P.C. | 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": "1475798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475798400000",
"number": "1720538259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16250 PACIFIC HWY UNIT 66",
"city": "LAKE OSWEGO",
"state": "OR",
"postal_code": "970344022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2505 SW SPRING GARDEN ST STE 100",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972193966",
"telephone_number": "503-841-6222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORBETT",
"first_name": "TIFFANY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-10-07",
"last_updated": "2016-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OR",
"license": "22051",
"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 Oct 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.