Active NPI
Courtney Backes
- Massage Therapist
- Portland, OR
National Provider Identifier
1750030474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 26771
- Practice address
- 1611 SE Bybee Blvd
Portland, OR 97202-5752 - Phone
- (971) 279-5738
- NPI assigned
- Mar 21, 2022
- Last updated
- Mar 27, 2024
- 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 | 26771 | OR | Primary |
Addresses
Primary practice location
1611 SE Bybee Blvd
Portland, OR 97202-5752
Mailing address
1611 SE Bybee Blvd
Portland, OR 97202-5752
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 |
|---|---|---|---|
| 26771 | OR | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hawthorne Chiropractic PC | 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.
-
- Chiropractor
- Portland, OR
- NPI 1144253139
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711497600000",
"number": "1750030474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1611 SE BYBEE BLVD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972025752"
},
{
"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": "971-279-5738"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BACKES",
"first_name": "COURTNEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-21",
"last_updated": "2024-03-27",
"certification_date": "2024-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OR",
"license": "26771",
"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 Mar 27, 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.