Michelle Denise Roberts

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

15528 Issued in OR

Legal business name

MICHELLE DENISE ROBERTS

Practice address

2100 SE Lake Rd
Suite 2B
Milwaukie, OR 97222-7759

Phone

(503) 490-2693

NPI assigned

Aug 28, 2010

Last updated

Jul 9, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michelle Denise Roberts, LMT

Title

Owner/LMT

Phone

(503) 490-2693

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michelle D Dusek, LMT

  • Massage Therapist
  • Milwaukie, OR
  • NPI 1073833562
  NPD (past)

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

{
    "created_epoch": "1282953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373328000000",
    "number": "1780990630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 SE LAKE RD STE 2B",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972227759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 SE LAKE RD",
            "address_2": "SUITE 2B",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972227759",
            "telephone_number": "503-490-2693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELLE DENISE ROBERTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-28",
        "last_updated": "2013-07-09",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "OWNER/LMT",
        "authorized_official_telephone_number": "503-490-2693",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "15528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael C. Regan D.M.D. P.C.
• Jennifer Michael
• Jerry Michaels, PHYSICAL THERAPIST
• Rhoberta E Michaels, LPC, NCC, LCPC
• Brittney Jane Michaud, LMT
• Joel Aaron Michels, F.N.P
• Olivia Mickola, M.S., CCC-SLP
• Anja Middelzick, L.AC., LMT
• Jenna Mieras
• Milestones Therapeutics, LLC

• Massage Therapist in Milwaukie, OR
• Providers in Milwaukie, 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 9, 2013; 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.