NPIMap

Individual provider Active NPI

Shangjian Li

  • Massage Therapist
  • Salem, OR
National Provider Identifier
1801453154
Registry record updated May 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
22378 Issued in OR
Practice address
4155 Rickey St SE Ste 122
Salem, OR 97317-6903
Phone
(503) 990-7570
NPI assigned
May 22, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2019

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 22378 OR Primary

Addresses

Primary practice location

4155 Rickey St SE Ste 122
Salem, OR 97317-6903

Mailing address

4155 Rickey St SE Ste 122
Salem, OR 97317-6903
Phone (503) 990-7570

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
22378ORMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pure Massage LLC Massage Therapist Current Accepting new patients
Pure Massage & Spa LLC Massage Therapist Past Accepting new patients

Locations

4155 Rickey St SE
Ste 122
Salem, OR 97317
Phone (503) 990-7570

Organizations & group practices 2

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": "1558483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558483200000",
    "number": "1801453154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4155 RICKEY ST SE STE 122",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973176903",
            "telephone_number": "503-990-7570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4155 RICKEY ST SE STE 122",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973176903",
            "telephone_number": "503-990-7570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LI",
        "first_name": "SHANGJIAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-22",
        "last_updated": "2019-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "22378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2019; 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.