Active NPI
Brittany Louise Henderson, L.M.T.
- Massage Therapist
- Beaverton, OR
National Provider Identifier
1740508332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 16769
- Practice address
- 4670 SW Washington Ave
Beaverton, OR 97005-0530 - Phone
- (503) 646-8575
- Fax
- (503) 526-0783
- NPI assigned
- May 7, 2010
- Sex
- Female
- Sole proprietor
- No
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 | 16769 | Primary |
Addresses
Primary practice location
4670 SW Washington Ave
Beaverton, OR 97005-0530
Mailing address
12820 SW 2ND St
Beaverton, OR 97005-2705
Phone (503) 626-5761
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 |
|---|---|---|---|
| Chiropractic First LLC | 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": "1273190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550620800000",
"number": "1740508332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12820 SW 2ND ST",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970052705",
"telephone_number": "503-626-5761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4670 SW WASHINGTON AVE",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970050530",
"telephone_number": "503-646-8575",
"fax_number": "503-526-0783"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDERSON",
"first_name": "BRITTANY",
"middle_name": "LOUISE",
"credential": "L.M.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-05-07",
"last_updated": "2019-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": null,
"license": "16769",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beaverton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.