Individual provider Active NPI

Maria Andrea Montera, LMT, RMTI

  • Massage Therapist
  • Portland, OR
National Provider Identifier
1780855387
Registry record updated Jul 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
8313 Issued in OR
Practice address
3220 NW 185TH Ave Ste 100
Portland, OR 97229-3492
Phone
(503) 882-8081
NPI assigned
Mar 22, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2022

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 8313 OR Primary

Addresses

Primary practice location

3220 NW 185TH Ave Ste 100
Portland, OR 97229-3492

Mailing address

PO Box 2017
Hillsboro, OR 97123-1918
Phone (503) 882-8081

Other identifiers 1

IdentifierTypeStateIssuer
8313OtherORSTATE LICENSE

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
Credentials
Master of Theology

State licenses

LicenseStateTypeSpecialty
8313ORMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Shifting Sands Holistic Healing LLC Massage Therapist PastSince Jul 17, 2022 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1206144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657152000000",
    "number": "1780855387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2017",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971231918",
            "telephone_number": "503-882-8081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3220 NW 185TH AVE STE 100",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972293492",
            "telephone_number": "503-882-8081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTERA",
        "first_name": "MARIA",
        "middle_name": "ANDREA",
        "credential": "LMT, RMTI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-22",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "8313",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "8313",
            "state": "OR"
        }
    ],
    "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 Jul 7, 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.