NPIMap

Organization Active NPI

River Sage Massage LLC

  • Massage Therapist
  • Wilsonville, OR
National Provider Identifier
1760879647
Registry record updated Apr 20, 2015
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Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
5303 Issued in OR
Legal business name
RIVER SAGE MASSAGE LLC
Practice address
29781 SW Town Center Loop W
Wilsonville, OR 97070-8806
Phone
(503) 680-9457
NPI assigned
Apr 19, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2015

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

Authorized official

Name
Ms. Kathryn Mary Overby, LMTNPI 1619248218
Title
Massage Therapist
Phone
(503) 680-9457

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X 5303 OR Primary

Addresses

Primary practice location

29781 SW Town Center Loop W
Wilsonville, OR 97070-8806

Mailing address

PO Box 1172
Wilsonville, OR 97070-1172
Phone (503) 680-9457

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1429401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429488000000",
    "number": "1760879647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1172",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970701172",
            "telephone_number": "503-680-9457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29781 SW TOWN CENTER LOOP W",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970708806",
            "telephone_number": "503-680-9457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER SAGE MASSAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-19",
        "last_updated": "2015-04-20",
        "status": "A",
        "authorized_official_last_name": "OVERBY",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "MASSAGE THERAPIST",
        "authorized_official_telephone_number": "503-680-9457",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "5303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilsonville, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2015; 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.