Individual provider Active NPI

Tarah Marie Reed, LMT, CCT

  • Massage Therapist
  • Portland, OR
National Provider Identifier
1811457377
Registry record updated Mar 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
13361 Issued in OR
Practice address
2808 NE MLK Jr Blvd Ste C
Portland, OR 97212-3061
Phone
(971) 255-1824
NPI assigned
Mar 21, 2019
Last updated
Mar 21, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 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 13361 OR Primary

Addresses

Primary practice location

2808 NE MLK Jr Blvd Ste C
Portland, OR 97212-3061

Mailing address

2808 NE MLK Jr Blvd Ste C
Portland, OR 97212-3061
Phone (971) 255-1824

Other names 1

  • Mrs. Tarah Marie Reed Professional name

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
13361ORMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1553126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553126400000",
    "number": "1811457377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2808 NE MLK JR BLVD STE C",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972123061",
            "telephone_number": "971-255-1824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2808 NE MLK JR BLVD STE C",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972123061",
            "telephone_number": "971-255-1824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REED",
        "first_name": "TARAH",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LMT, CCT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-21",
        "last_updated": "2019-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "13361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TARAH",
            "last_name": "REED",
            "middle_name": "MARIE",
            "prefix": "MRS.",
            "credential": "LMT, CCT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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 Mar 21, 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.