Active NPI
Laura T. Kubly, LMT, Inc.
- Massage Therapist
- Portland, OR
National Provider Identifier
1801639075
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- Legal business name
- LAURA T. KUBLY, LMT, INC.
- Practice address
- 1318 NW 20TH Ave
Portland, OR 97209-1671 - Phone
- (608) 332-4330
- Fax
- (503) 498-5339
- NPI assigned
- Jun 17, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Laura Kubly, LMT
- Title
- President
- Phone
- (608) 332-4330
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | Primary |
Addresses
Primary practice location
1318 NW 20TH Ave
Portland, OR 97209-1671
Mailing address
7622 SE Stephens St
Portland, OR 97215-3620
Phone (608) 332-4330
National Provider Directory
National Provider DirectoryLocations
1318 NW 20th Ave
Portland, OR 97209
Phone (608) 332-4330
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Massage Therapist
- Portland, OR
- NPI 1942697586
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718582400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1718582400000",
"number": "1801639075",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7622 SE STEPHENS ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972153620",
"telephone_number": "608-332-4330",
"fax_number": "503-498-5339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1318 NW 20TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972091671",
"telephone_number": "608-332-4330",
"fax_number": "503-498-5339"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAURA T. KUBLY, LMT, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2024-06-17",
"last_updated": "2024-06-17",
"certification_date": "2024-06-16",
"status": "A",
"authorized_official_last_name": "KUBLY",
"authorized_official_first_name": "LAURA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "608-332-4330",
"authorized_official_credential": "LMT"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.