Devon Ehrenberg, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

27002 Issued in OR

Practice address

18055 SW TV Hwy
Aloha, OR 97003-3953

Phone

(503) 642-3018

NPI assigned

Jul 14, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• T V Highway Chiropractic Clinic PC

  • Medical Specialty Clinic/Center
  • Aloha, OR
  • NPI 1033377379
  NPD (past)

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

{
    "created_epoch": "1657756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657756800000",
    "number": "1780318758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18055 SW TUALATIN VALLEY HWY",
            "city": "ALOHA",
            "state": "OR",
            "postal_code": "970033953",
            "telephone_number": "971-228-5777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18055 SW TV HWY",
            "city": "ALOHA",
            "state": "OR",
            "postal_code": "970033953",
            "telephone_number": "503-642-3018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EHRENBERG",
        "first_name": "DEVON",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-14",
        "last_updated": "2022-07-14",
        "certification_date": "2022-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "27002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N/A",
            "identifier": "46-1639099",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@renuchiro.com",
            "affiliation": "N",
            "address_1": "18055 SW Tv Hwy",
            "city": "Aloha",
            "state": "OR",
            "country_code": "US",
            "postal_code": "970033953",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Doyel Maxus LLC
• Duncan Health Centers LLC
• Dynamic Core Care LLC
• Zachary Edmund
• Jakson Nicholas Edward
• Arlynn Ekis
• Erica Bronitsky, DMD, LLC
• Ernest R Thompson DMD PC
• TJ Ernst
• Jimmie Don Erwin III, CNAII

• Massage Therapist in Aloha, OR
• Providers in Aloha, OR by specialty
• Massage Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2022; 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.