Organization Active NPI

PMT LLC

  • Massage Therapist
  • Portland, OR
National Provider Identifier
1740188473
Registry record updated Oct 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
PMT LLC
Practice address
10552 NE Glisan St
Portland, OR 97220-4043
Phone
(503) 314-8365
Fax
(503) 254-6785
NPI assigned
Oct 31, 2026
Last updated
Oct 31, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jamin Rak, LMTNPI 1205958329
Title
Owner
Phone
(503) 314-8365

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

10552 NE Glisan St
Portland, OR 97220-4043

Mailing address

10552 NE Glisan St
Portland, OR 97220-4043
Phone (503) 314-8365

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1793404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793404800000",
    "number": "1740188473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10552 NE GLISAN ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972204043",
            "telephone_number": "503-314-8365",
            "fax_number": "503-254-6785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10552 NE GLISAN ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972204043",
            "telephone_number": "503-314-8365",
            "fax_number": "503-254-6785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PMT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-31",
        "last_updated": "2026-10-31",
        "certification_date": "2026-10-31",
        "status": "A",
        "authorized_official_last_name": "RAK",
        "authorized_official_first_name": "JAMIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-314-8365",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "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 31, 2026; 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.