Individual provider Active NPI

Matthew McCurdy, LMT

  • Massage Therapist
  • Sisters, OR
National Provider Identifier
1760733513
Registry record updated Sep 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
6014 Issued in OR
Practice address
270 S Spruce St
Sisters, OR 97759-1127
Phone
(541) 549-3583
Fax
(541) 549-3583
NPI assigned
Sep 19, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2012

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 6014 OR Primary

Addresses

Primary practice location

270 S Spruce St
Sisters, OR 97759-1127

Mailing address

270 S Spruce St
Sisters, OR 97759-1127
Phone (541) 549-3583

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
6014ORMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Angell Chiropractic Inc Past Accepting new patients
Inice Gough DC PC PastSince Feb 9, 2018 Accepting new patients

Organizations & group practices 2

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": "1348012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348012800000",
    "number": "1760733513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 S SPRUCE ST",
            "city": "SISTERS",
            "state": "OR",
            "postal_code": "977591127",
            "telephone_number": "541-549-3583",
            "fax_number": "541-549-3583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 S SPRUCE ST",
            "city": "SISTERS",
            "state": "OR",
            "postal_code": "977591127",
            "telephone_number": "541-549-3583",
            "fax_number": "541-549-3583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCURDY",
        "first_name": "MATTHEW",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-09-19",
        "last_updated": "2012-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "6014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sisters, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2012; 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.