Active NPI
Diana Vasilauskas, LMT
- Massage Therapist
- Portland, OR
National Provider Identifier
1740922194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 7603
- Practice address
- 1611 SE Bybee Blvd
Portland, OR 97202-5752 - Phone
- (971) 279-5638
- Fax
- (866) 473-0398
- NPI assigned
- Apr 7, 2022
- 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 | 7603 | OR | Primary |
Addresses
Primary practice location
1611 SE Bybee Blvd
Portland, OR 97202-5752
Mailing address
3425 SE Barba St
Milwaukie, OR 97222-5530
Phone (503) 957-5926
Other names 1
- Magidah Crow
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 |
|---|---|---|---|
| Ritualuna Wellness LLC | Single Specialty | Current | Accepting new patients |
Locations
1611 SE Bybee Blvd
Portland, OR 97202
Phone (503) 572-9234
6637 SE Milwaukie Ave
Ste 207
Portland, OR 97202
Phone (541) 653-1341
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": "1649289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733184000000",
"number": "1740922194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3425 SE BARBA ST",
"city": "MILWAUKIE",
"state": "OR",
"postal_code": "972225530",
"telephone_number": "503-957-5926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1611 SE BYBEE BLVD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972025752",
"telephone_number": "971-279-5638",
"fax_number": "866-473-0398"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VASILAUSKAS",
"first_name": "DIANA",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-04-07",
"last_updated": "2024-12-03",
"certification_date": "2024-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "OR",
"license": "7603",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MAGIDAH",
"last_name": "CROW",
"credential": "LMT",
"code": "2",
"type": "Professional Name"
}
]
}
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 Dec 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.