Individual provider Active NPI

Joshua Dwayne Pugh, LMT

  • Massage Therapist
  • Springfield, OR
National Provider Identifier
1801308226
Registry record updated Oct 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
19747 Issued in OR
Practice address
384 Q St
Springfield, OR 97477-2140
Phone
(541) 514-4819
NPI assigned
Oct 25, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 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 19747 OR Primary

Addresses

Primary practice location

384 Q St
Springfield, OR 97477-2140

Mailing address

PO Box 278
Walterville, OR 97489-0278
Phone (541) 514-4819

Other practice location 1

1011 Valley River Way Ste 106
Eugene, OR 97401-2187
Phone (541) 514-4819

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
19747ORMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Movement Improvement LLC Massage Therapist CurrentSince Dec 21, 2021 Accepting new patients

Locations

1011 Valley River Way
Ste 106
Eugene, OR 97401
Phone (541) 344-3689

384 Q St
Springfield, OR 97477
Phone (541) 514-4819

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": "1508889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697155200000",
    "number": "1801308226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 278",
            "city": "WALTERVILLE",
            "state": "OR",
            "postal_code": "974890278",
            "telephone_number": "541-514-4819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "384 Q ST",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974772140",
            "telephone_number": "541-514-4819"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1011 Valley River Way Ste 106",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974012187",
            "country_code": "US",
            "telephone_number": "541-514-4819",
            "fax_number": "541-897-8112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PUGH",
        "first_name": "JOSHUA",
        "middle_name": "DWAYNE",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-10-25",
        "last_updated": "2023-10-13",
        "certification_date": "2023-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "19747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.