Active NPI
Jennifer McCarthy, LMT
- Mechanotherapist
- Lake Oswego, OR
National Provider Identifier
1740684521
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mechanotherapist
- License
- 20477
- Practice address
- 3 Monroe Parkway
Suite U
Lake Oswego, OR 97035 - Phone
- (503) 387-3205
- NPI assigned
- Oct 22, 2014
- Last updated
- Oct 22, 2014
- 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 |
|---|---|---|---|---|
| Mechanotherapist | 172M00000X | 20477 | OR | Primary |
Addresses
Primary practice location
3 Monroe Parkway
Suite U
Lake Oswego, OR 97035
Mailing address
3 Monroe Parkway
Suite U
Lake Oswego, OR 97035
Phone (503) 387-3205
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
| License | State | Type | Specialty |
|---|---|---|---|
| 20477 | OR | MD | Mechanotherapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RF Heikens Enterprises, Inc | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- Massage Therapist
- Lake Oswego, OR
- NPI 1124454160
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413936000000",
"number": "1740684521",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 MONROE PARKWAY",
"address_2": "SUITE U",
"city": "LAKE OSWEGO",
"state": "OR",
"postal_code": "97035",
"telephone_number": "503-387-3205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 MONROE PARKWAY",
"address_2": "SUITE U",
"city": "LAKE OSWEGO",
"state": "OR",
"postal_code": "97035",
"telephone_number": "503-387-3205"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCARTHY",
"first_name": "JENNIFER",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-22",
"last_updated": "2014-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "172M00000X",
"taxonomy_group": "",
"desc": "Mechanotherapist",
"state": "OR",
"license": "20477",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Oswego, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.