Active NPI
Jennifer Ruth Houston, LMT, AAS
- Massage Therapist
- Fossil, OR
National Provider Identifier
1801427802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 23710
- Practice address
- 23891 Winlock LN
Fossil, OR 97830-8235 - Phone
- (503) 739-3488
- NPI assigned
- Jan 28, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 23710 | OR | Primary |
Addresses
Primary practice location
23891 Winlock LN
Fossil, OR 97830-8235
Mailing address
23891 Winlock LN
Fossil, OR 97830-8235
Phone (503) 739-3488
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
- Associate of Applied Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23710 | OR | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580169600000",
"number": "1801427802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23891 WINLOCK LN",
"city": "FOSSIL",
"state": "OR",
"postal_code": "978308235",
"telephone_number": "503-739-3488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23891 WINLOCK LN",
"city": "FOSSIL",
"state": "OR",
"postal_code": "978308235",
"telephone_number": "503-739-3488"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOUSTON",
"first_name": "JENNIFER",
"middle_name": "RUTH",
"name_prefix": "Miss",
"credential": "LMT, AAS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-01-28",
"last_updated": "2020-01-28",
"certification_date": "2020-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OR",
"license": "23710",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fossil, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.