Individual provider Active NPI

Grace White, LMT

  • Massage Therapist
  • Eagle Point, OR
National Provider Identifier
1790475366
Registry record updated May 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
023501 Issued in OR
Practice address
155 Alta Vista Rd Ste B
Eagle Point, OR 97524-9735
Phone
(541) 879-3443
NPI assigned
May 8, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2023

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 023501 OR Primary

Addresses

Primary practice location

155 Alta Vista Rd Ste B
Eagle Point, OR 97524-9735

Mailing address

155 Alta Vista Rd Ste B
Eagle Point, OR 97524-9735
Phone (541) 879-3443

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
023501ORMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
New Heights Chiropractic and Wellness Clinic, PC CurrentSince May 14, 2023 Accepting new patients

Locations

155 Alta Vista Rd
Ste B
Eagle Point, OR 97524
Phone (541) 826-3052

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1683504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683504000000",
    "number": "1790475366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 ALTA VISTA RD STE B",
            "city": "EAGLE POINT",
            "state": "OR",
            "postal_code": "975249735",
            "telephone_number": "541-879-3443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 ALTA VISTA RD STE B",
            "city": "EAGLE POINT",
            "state": "OR",
            "postal_code": "975249735",
            "telephone_number": "541-879-3443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "GRACE",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-08",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "023501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagle Point, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; 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.