Individual provider Active NPI

Kendra Ashley, LMT

  • Massage Therapist
  • Beaverton, OR
National Provider Identifier
1740735463
Registry record updated Aug 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
21882 Issued in OR
Practice address
2155 NW 173Rd Ave
Suite 104
Beaverton, OR 97006-3563
Phone
(503) 352-0735
Fax
(503) 352-0734
NPI assigned
Aug 23, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 21882 OR Primary

Addresses

Primary practice location

2155 NW 173Rd Ave
Suite 104
Beaverton, OR 97006-3563

Mailing address

2323 NW 188TH Ave
Apt 2123
Hillsboro, OR 97124-7039
Phone (315) 244-6247

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

LicenseStateTypeSpecialty
21882ORMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Integrity Auto & Work Injury Chiropractic Clinic 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": "1471910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471910400000",
    "number": "1740735463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 NW 188TH AVE",
            "address_2": "APT 2123",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971247039",
            "telephone_number": "315-244-6247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2155 NW 173RD AVE",
            "address_2": "SUITE 104",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970063563",
            "telephone_number": "503-352-0735",
            "fax_number": "503-352-0734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASHLEY",
        "first_name": "KENDRA",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-23",
        "last_updated": "2016-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "21882",
            "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 Aug 23, 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.

Verify at the official NPI Registry.